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Test for candida or dysbiosis if GI symptoms persist

Smriga M., Ando T., Akutsu M., Furukawa Y., Miwa K., and Morinaga Y., Oral Treatment With LLysine and LArginine Reduces Anxiety and Basal Cortisol Levels in Healthy Humans, Biomedical Research 28 (2007): 8590

An imbalanced composition of the gut microbiota, characterized by an excess of oxygen-utilizing bacteria, may elevate the oxygen consumption inside the intestinal lumen

In the context of MetS, liver diseases and NBD share common mechanistic pathophysiologic features which led to investigation for a link between MASLD/MASH and extrahepatic manifestations such as neurodegeneration

Journal of Forensic Sciences, 39(4), 10841093.

Correll CU, Rubio JM, Inczedy-Farkas G, Birnbaum ML, Kane JM, Leucht S