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In the case of viral hepatitis, the ability of the intestinal microbiome to metabolize glutathione helps the body in detoxification, while bacterial generation of glucose from non-carbohydrate carbon substrates, such as pyruvate, helps to maintain the bodys energy supply

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The bodys defense mechanisms, including the white blood cells (neutrophils) engulf the uric acid crystals, which leads to a release of inflammatory chemicals (called cytokines) which cause all the signs of inflammation, including heat, redness, and swelling and pain