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doi:10.1111/jpi.12172

Chen J, Huang C, Zhang T, Gong W, Deng X, Liu H, Liu J, Guo Y

& Shilstone, G

The pharmacist should verify that the patient has had her symptoms evaluated by a physician before recommending a therapy

Disturbances in the intestinal endothelium, lymphoid atrophy, gut dysbiosis, and elevated inflammatory metabolites (TNF, specific pteridines, IL-1, IL-6 and IL-12, fecal calgranulin and myeloperoxidase) further compromise intestinal function [51, 106, 110,111,112] SAM-induced inflammation further inhibits micronutrient uptake, creating a downward spiral in SAM severity and increased morbidity and mortality [104, 113]

Yin, N., Harris, P