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Previous studies have shown that, due to pathological changes in the retinal pigment epithelium (RPE), the macula is damaged, which may lead to partial or complete loss of vision [6]

This persistence raises concerns about potential accumulation in the intestinal lumen and subsequent promotion of gut dysbiosis

However, several approaches are being tested, including the combination of separate antigens to elicit both T and B-cell responses

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This method puts the vitamin into a muscle, usually in the arm or buttock

At maintenance, the effect is usually steadier and milder than the first-week change