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Studies have shown that H 2 can activate Nrf2 and induce its translocation into the nucleus, enhancing the transcription of catalase (CAT) and glutathione peroxidase 1 (GPX1) (Murakami et al., 2017), thereby upregulating the expression of intracellular antioxidant enzymes through the Nrf2-ARE pathway, neutralizing ROS, mitigating oxidative damage, and ultimately achieving systemic antioxidant protection of hydrogen at the cellular and mitochondrial levels

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They interact directly with the metabolic signaling systems that regulate hunger and energy balance