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Stress, a known exacerbating factor, can induce tinnitus-like behavior in animal models, linked to decreased expression of GABA A receptor 1 in the hippocampus, indicating a shift towards neuronal hyperexcitability

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Similarly, branched-chain amino acids, such as leucine, isoleucine, and valine, are catabolized in skeletal muscle to produce acetyl-CoA and succinyl-CoA, which enter the TCA cycle and contribute to ATP production

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As the most abundant intracellular thiol, glutathione plays a central role in neutralizing free radicals, supporting liver function, enhancing immune cell activity, and protecting against environmental toxins [3] [4]