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Mycotoxins can alter the composition of the gut microbiota, reduce secretory IgA, and damage the intestinal lining, leading to dysbiosis and leaky gut 30

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In the PIVENS randomized controlled trial, patients with biopsy-proven NASH without diabetes mellitus received vitamin E (800 IU/day) and pioglitazone (30 mg/day) for 96 weeks and were compared with patients who received placebo

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