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From a research standpoint, extensive, strain-specific multicenter trials that include comprehensive product characterization, standardized outcome measures, and sufficient follow-up are essential to establish minimal effective doses, assess the durability of effects, and identify infrequent adverse events

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Furthermore, these components can induce apoptosis in tumor cells and disturb the differentiation of tumor cells while promoting the secretion of reactive nitrogen species, oxygen intermediates, interleukins, and other bioactive substances

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