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These reactions play a critical role in several cellular processes, including cell cycle progression, DNA repair, apoptosis, and aging (13, 14)

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Both disproportionality analyses confirmed this heightened risk: ROR analysis showed a statistically significant association (ROR = 1.81, 95% CI 1.622.03), while BCPNN yielded an information component of IC = 0.85 (IC025 = 0.69), both indicating substantially greater renal impairment risks in this older population treated with the combination therapy