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Longitudinal studies in spontaneously hypertensive stroke-prone have demonstrated that gut dysbiosis precedes the onset of hypertension and is marked by shifts in bacterial community structure and altered tryptophan-kynurenine metabolism, implicating microbial pathways in the early development of hypertension and related neurovascular complications (Shi et al., 2022)

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These measures are summarized here for the busy clinician, as are highly valuable diagnostic modalities that have emerged in the last decade, such as high resolution ultrasound (done in-office in many rheumatology practices) and dual-energy computed tomography (DECT) imaging

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