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Serum and urinary levels of D-lactate are elevated in diabetes [82], suggesting this marker may be appropriate outside the context of gastrointestinal conditions

Contributed reagents, materials, and analysis tools: HW ZL QY

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Future perspective To date, impaired barrier permeability has been highlighted as the initiating factor for pathogenic infiltration into the intestinal mucosa and subsequent chronic inflammation due to exposure to PAMPs

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