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While the FDAs Food, Drug, and Cosmetic Act allows it to turn a blind eye to pharmacists producing and selling non-approved compounded versions under certain circumstances, this practice has led to a billion-dollar shadow industry of compounded GLP-1 drugs

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3.6 Stroke and post-stroke cognitive impairment (PSCI) Post-stroke patients show gut dysbiosis with reduced microbial diversity, increased pro-inflammatory bacteria, and decreased levels of SCFA-producing bacteria such as Faecalibacterium (Yin et al., 2015)

Quality assessment The methodological quality of the included studies was evaluated using the Newcastle-Ottawa Scale (NOS) [24], which assesses three domains: selection of study participants, comparability between groups, and the ascertainment of exposure or outcomes, with a maximum achievable score of 9 points