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Building on the preceding mechanistic and clinical evidence, this section focuses on the practical implementation of plant-based nutritional strategies in clinical settings, including patient selection, monitoring procedures, and safety management, with an emphasis on how these interventions can be applied in practice

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Vocal cord nodules are believed to be a chronic disease that develops over months or years as opposed to an acute response to a short period of vocal overuse, although they may become exacerbated acutely and therefore become noticeable to patients in a seemingly shorter period of time

Funding KOHJIN Life Sciences (Tokyo, Japan)

Ageing is a complex process that is influenced by many aspects, including genetics, lifestyle and environmental factors

Chronic alcohol consumption has also been reported to leads to significant reductions in micronutrient especially thiamine and has been reported to contribute to DNA hypomethylation (Figure 2)