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Furthermore, dose recommendations in the setting of kidney disease are frequently on the basis of limited data, and they may not adequately account for interindividual variability or acute changes, such as during AKI

The Indian Society of Pediatric Gastroenterology, Hepatology, and Nutrition (ISPGHAN) convened a consensus meeting on February 23, 2025, bringing together national and international experts to address key clinical and research questions

Endogenous free radicals are generated from inflammation, mental stress, immune cell activation, excessive exercise, infection, ischemia, cancer, and aging while exogenous free radicals are produced from air and water pollution, radiation, alcohol, cooking (smoked meat, used oil, and fat), heavy or transition metals, cigarette smoke, and industrial solvents [3638]

Although efforts were made to enhance transparency in the literature selection and to prioritize high-quality evidence, the absence of formal risk-of-bias assessment and quantitative synthesis should be considered when interpreting the conclusions