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The underlying biochemistry is real
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Its a two-way street in IBD, with the gut microbiome changes potentially causing high homocysteine, but then high homocysteine will increase the inflammation in the gut.[ref] Gastrointestinal production of homocysteine: Gut microbes that produce folate: The amount of folate produced by the gut microbiome is on a similar scale to what we get from food, so it is a significant source of folate for most people
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Pro tip: Book 2448 hours in advance during Wurstfest and holiday weekends, as slots fill up fast
CagriSema (which includes cagrilintide) could potentially be approved by late 2026, with availability following shortly after
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