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However, many factors can disrupt tight junction integrity, leading to increased gut permeability, often referred to as leaky gut. This increased permeability allows larger molecules, bacterial products, and toxins to cross the gut barrier and enter the bloodstream, triggering immune responses and systemic swelling

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One of the leading reasons for a doctor recommending lumbar spinal stenosis surgery is that the feared progression of disease will lead to the previously described lost circulation to the legs or bladder control

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This reduces long term risk for diabetes and insulin resistance