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Conclusions In conclusion, the complex relationship between NSW and BC is increasingly supported by mechanistic, preclinical and clinical evidence, underscoring its relevance for occupational medicine and public health 312

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The use of exogenous melatonin not only can elevate endogenous production [399, 400], but also can effectively reverse mitochondrial dysfunction and elevate ATP production, overcoming the challenges associated with reduced ATP production during viral infection and persistence and the development of Neuro-PASC and other aging-related neurodegenerative disorders