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Clinical and experimental endpoints Across experimental models—particularly in AKI—H₂ therapy consistently improves oxidative stress markers (for example, malondialdehyde, glutathione, superoxide dismutase), inflammatory cytokine levels, and histological injury scores.8,13,24,34,40,56 Interest also exists in H₂ ability to mitigate cisplatin-induced nephrotoxicity without reducing antitumor efficacy.21,37,57 Early clinical work, including small-scale dialysis studies, reports lowered fatigue and inflammation but insufficient data on long-term outcomes such as survival or progression to end-stage renal disease.7,30,43,44,46,47 While these findings strongly suggest multifaceted renoprotection—encompassing antioxidant, anti-inflammatory, and antifibrotic effects—further research is needed to refine clinical endpoints and confirm the full scope of H₂ therapeutic value