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Surfactant deficiency and inactivation are prominent mechanisms of the exudative phase of ARDS and lead to alveolar collapse and edema (Gnther et al., 2001)

Here is exactly what the science says, and a practical protocol you can actually follow
Handog EB, et al

[22] However, some endogenous compounds, e.g., bilirubin, can inhibit the activity of GSTs

If you maintain healthy lifestyle habits, many benefits persist after stopping