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Likewise, flavonoids from oolong tea extract and citrus peel promoted Lactobacillus growth, reducing the carnitine-induced increase in plasma TMAO levels in mice (169)

Moreover, the proteins produced by LAB, like cytokines with immunomodulatory effect or vaccine antigens [23, 24], do not require an intracellular protein delivery to exert a therapeutic effect and frequently act directly in situ on the intestinal mucosa, not requiring to reach organs/tissues that are distant from the site of LAB production

Consistency is key for optimal results, so try to take the medication at the same time each day

For researchers concerned about fatigue during GLP-1 therapy , liver function is worth considering

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What is clear is that factors such as UV exposure and immunosuppression also play a role