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Dietary interventions Diet is considered the greatest shaper of gut microbiota, as different dietary sources are needed for the biosynthesis of SCFAs and other microbial metabolites, determining the differential growth of certain bacterial populations [60, 276]

85 Similarly, Abrahami et al found a link between DPP4 inhibitor use and an increased risk of IBD

This discovery is significant not only for understanding the diseases mechanisms but also for exploring new therapeutic approaches that target DPP4 activity to restore immune balance and improve treatment outcomes for SLE patients

While this can improve access for some, compounded medications are not available in all states and are not FDA-approved

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