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However, T2DM patients with hypertension may have higher incidence of retinal vascular leakage compared to T1DM patients, mediated by elevated endothelin-1 (ET-1) and vascular cell adhesion molecule-1 (VCAM-1) expression (84, 85)

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There are many categories of distinct microbial metabolites including short chain fatty acids (SCFAs), bile acids, neurotransmitters, and other bioactive molecules of microbial origin produced in the gut which influence brain signaling

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