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Chlorophyll metabolism is significantly affected, with protochlorophyllide reductase and chlorophyllide a oxygenase upregulated, suggesting an adaptive response to regulate chlorophyll biosynthesis and maintain photosynthetic efficiency ( CER3 and 3-ketoacyl-CoA synthase downregulated, indicating a potential reduction in cuticle reinforcement and increased water loss ( 4.6 Protein stability and stress recovery In addition to gene expression changes and signaling pathways that mediate drought responses, the stability and proper functioning of proteins under stress conditions are equally critical

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The role of endoscopy in the management of GERD