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Leaky gut may also stem from systemic inflammation, where cytokines like interleukin (IL)1, IL-6, tumor necrosis factor (TNF)-, and interferon (IFN)- disrupt gut permeability and promote bacterial translocation by weakening tight junctions [21]

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Alm (1982) stated that milk kefirs lactose was reduced by 30% as compared to unfermented milk

The code is content-based, not time-based, so reimbursement depends on clinical complexity rather than session length