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This viral persistence creates a state of chronic, localized inflammation that directly damages the delicate architecture of the intestinal lining, particularly the microscopic villi responsible for nutrient absorption and enzyme production

doi: 10.1515/CCLM.2008.183 97 MohammadiM

I would recommend supporting your liver by following the Two-Week Liver Support Protocol in my book, Hashimotos Protocol

[4] Diagnosis [edit] Gastroparesis is suspected in patients who have abdominal pain, nausea, vomiting, or bloating, or when these symptoms occur after eating

Cytotechnology 53 , 121125, doi:10.1007/s10616-007-9075-2 (2007)

Someone with an already healthy Akkermansia population may see minimal additional benefit from the prebiotic component, while someone with severely depleted gut bacteria may need months before meaningful changes occur