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Future studies should focus on developing combinatorial strategies, such as identifying optimal pairings of exercise modalities (e.g., high-intensity interval training versus moderate-intensity endurance training) with specific classes of Chinese herbal medicine, elucidating the cross-regulation mechanisms within the Nrf2/NF-B/AMPK signaling network, and establishing individualized intervention protocols that integrate exercise with botanical treatment for ALD patients

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BMSC-derived exosomes alleviate sepsis-associated acute respiratory distress syndrome by activating the Nrf2 pathway to reverse mitochondrial dysfunction