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BBB breakdown can lead to neurotoxic accumulations of fibrin, thrombin, and plasmin, and red blood cell extravasation, the release of hemoglobin and ferrous iron, causing reactive oxygen species (ROS), which can all injure dopaminergic neurons [513]

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In summary, acute HIIT triggers short-term immune activation in monocytes, while chronic HIIT offers lasting anti-inflammatory benefits by balancing monocyte subsets and promoting macrophage polarization towards the M2 phenotype, especially in individuals with obesity and metabolic disorders

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