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Gut microbial dysbiosis alters regulatory T cells (Tregs) and cytokine balance, perpetuating inflammatory pathways even in the absence of overt infection

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Sweeteners such as sorbitol or sucralose might have a similar effect

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ValentiLFracanzaniALDongiovanniPBugianesiEMarchesiniGManziniPet al

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The medication's higher potency further amplifies this effect at equivalent doses

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