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Future studies should prioritize TBI-specific pathology and move beyond the default assumption that animal findings directly translate to humans

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The bacterium thrives in low-competition environments, which is exactly what antibiotics create

Conflict of interest The authors declare that they have no competing interests

Baseline and interval laboratory monitoring should include: fasting glucose and HbA1c (tirzepatide can cause hypoglycemia in non-diabetic subjects if caloric intake drops too low), lipase and amylase (pancreatitis risk with GLP-1 agonists), liver function tests (AST, ALT, bilirubin), and thyroid panel (TSH, free T3, free T4)