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Acknowledgments This work was supported by the National Natural Science Foundation of China (30600661, 30872708, 30801174, 30871191 and 30900622), the Scientific Research Foundation of the Health Bureau of Hunan Province (B2007058), the Natural Science Foundation of Hunan Province (05C0163) and the Post-doctorate Scientific Research Special-purpose Project of Hunan Province (2008RS4012)

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Both 4-HNE and MDA are extensively studied markers of lipid peroxidation, with MDA recognized as a mutagenic product of lipid peroxidation and 4-HNE recognized as the most toxic product of lipid oxidation (104), worsening the damage resulting from oxidative stress (105, 106)

However, those who benefited from reduced appetite may find the return of normal hunger challenging to manage