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As the causative bacteria die off due to antibiotics, inflammatory agents are released and temporarily worsen symptoms before improvement is noted
PMID: 36870274 9 Oral semaglutide improves postprandial glucose and lipid metabolism, and delays gastric emptying, in subjects with type 2 diabetes
Hursel R, Viechtbauer W, Westerterp-Plantenga MS
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Dimethylglycine dehydrogenase (DMGDH) removes a methyl group to produce sarcosine that enters the electron transport chain, generating reduced nicotinamide adenine dinucleotide/reduced flavin adenine dinucleotides (NADH/FADH2)
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