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These genetic damages compromise stem cell function, promote abnormal mutations, and increase the risk for cancer and blood disorders ( + ratio, reduces ATP production, and disrupts fatty acid oxidation, leading to steatosis and mitochondrial injury ( By weakening the intestinal barrier, alcohol allows bacterial lipopolysaccharide (LPS) to reach the liver and activate TLR4 signaling in Kupffer cells, amplifying hepatic inflammation ( 3.2 Alcohols role in HBV pathogenesis In HBV-infected individuals, alcohol further enhances liver damage by promoting viral replication and impairing immune responses, which contributes to increased hepatitis activity

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