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Exposure to cadmium (Cd) and excess molybdenum (Mo) disrupts ovarian micronutrient balance, shifts the Th1/Th2 immune balance toward Th1, and activates ER stress, triggering ovarian necroptosis through the RIPK1/RIPK3/MLKL pathway, ultimately impairing ovarian function ( In conclusion, external factors such as environmental pollutants, immune system damage, and stress-induced OS can trigger necroptosis