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[193] provided a comprehensive mechanistic review showing that chronic dietary exposure to inorganic NPs—including Ag, TiO 2 , ZnO, and SiO 2 —frequently induces gut microbial imbalance, pro-inflammatory shifts (e.g., Proteobacteria overabundance), and reductions in beneficial taxa (e.g., Lactobacillus , Bifidobacterium ), thereby promoting dysbiosis linked to metabolic disorders and inflammatory diseases
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Metabolic interventions such as BCAA supplementation in selected TBI models illustrate how nutritional strategies may converge on orexin neurons to restore wakefulness and normalize sleep architecture, although translation of these findings to broader clinical populations will require careful testing