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It appears from these studies that physical damage to the intestinal epithelium is an important factor underlying BT

If you have already started semaglutide without probiotics, it is not too late

Caveolin-1 Caveolae and caveolar proteins are implicated in the regulation of multiple functions within cells (23, 93, 103)

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Another study found that B12 deficiency in pregnant women was associated with higher body fat percentages in their children[1], suggesting a role in long-term metabolic regulation

I'll be interested to know what you find out from your MRIs