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Although these studies in GF mice have been important in providing evidence supporting the concept that the microbiome is involved in brain processes involved in stress hormone signaling, neural function and neuroprotection 51 , there are significant limitations to human translation of these findings including, but not limited to, the presence of defects in the immune system development, ENS formation and CNS maturation of GF animals 57,41,4248,49, 50

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Unfortunately, pain scores were not assessed at any earlier points in this study, it is therefore unknown whether pain had decreased more in the B12 group at an earlier time point

Cagrilintide is a long-acting amylin analog that promotes fullness and slows digestion, while Retatrutide is a triple-receptor agonist targeting GLP-1, GIP, and glucagon pathways at once
