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Intense abdominal pain that does not go away
A physical barrier is provided by epithelial cells in the gut, which serves as the guts main line of defense, and in addition to fighting pathogens, it limits their direct contact with epithelium by working with immune cells and stromal cells ( However, symbiotic bacteria are not harmless and can induce severe inflammatory reactions such as colitis and septicemia if they enter the systemic immune system
doi: 10.1136/gutjnl-2021-326789
The downside is a 4-week window with reduced appetite suppression, potentially leading to appetite rebound and temporary weight regain
Cumulative loss often 25-40 pounds
How often will I need to follow up, and what monitoring will be required
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