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In one study, adjusted odds ratios for MASLD demonstrated a clear gradient: lowest in never smokers, higher in exclusive cigarette smokers, and highest among dual users, suggesting an additive or even synergistic effect of combined exposure [140]

Basavappa, R

J.BowerC.PettersonB.de KlerkN.ChaneyG.HallmayerJ

(DOCX) S3 Table
Aryl hydrocarbon receptor ligand production by the gut microbiota is decreased in celiac disease leading to intestinal inflammation

He may not be a character in an SF novel, but as he discovered with those ancient spreadsheets, he needs to think like an SF writer just to do his job