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These health impacts impose significant economic burdens, as medical expenses and productivity losses contribute to the overall cost (5)

Therefore, a comparative analysis of the acceptance level of Spirulina in different cultural and regional markets in future research will enable a more comprehensive assessment of its potential (132)

95 Although the germinal matrix is the major origin for toenail growth, additional microscopic germinal areas of growth may be present within the lateral nail folds and the distal nail bed