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Spa shots often use low-grade compounds and skip medical evaluation risking imbalance or ineffective results, or even missing important diagnosis of underlying medical conditions

Endothelial dysfunction impairs renal microcirculation, reducing glomerular filtration rate (GFR) and promoting renal ischemia, accelerating progression to end-stage renal disease (120)

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[DOI] [PMC free article] [PubMed] [Google Scholar] 122.Ma Y., Li S., Wang C., Liu Y., Li W., Yan X., Chen Q., Han S

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