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Systemic and local levels of these pro-inflammatory metabolitesincluding LPS, peptidoglycan and fatty acidsare elevated and cause damage in joint tissues by bringing about metabolic endotoxaemia, macrophage invasion and chronic low-grade inflammation (Han et al., 2025
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"In the brain, it's thought to reduce food intake by some element of appetite suppression," says Evan Nadler, MD, MBA , former co-director of the obesity program at Children's National Hospital and current adjunct associate professor at George Washington University
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