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Similarly, a recent study among Turkish nurses found no significant differences in oxidative stress parameters (TOS, TAS, cortisol, epinephrine, and norepinephrine) between day and NS workers, although higher perceived stress and anxiety sensitivity were associated with increased TOS and cortisol levels, suggesting that psychological stress may contribute to oxidative imbalance even in the absence of direct shift-related biochemical changes 83
Another cause is related to the individual's dietary intake
Plasma levels decline with age (approximately 60 percent reduction between ages 20 and 60)
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