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The gut microbiome also affects the immune system, with ALS patients showing increased Th17 immune cells and higher levels of IL-17, an inflammatory cytokine that may worsen the disease (Zang et al., 2023)

Investigative Ophthalmology & Visual Science , 61 (13), 12

These can be from hormone changes and stress to serious things like infections or problems with the cervix

Just note that the bioavailability and effectiveness of oral capsules compared to injections can vary, and further studies are needed to fully understand this

Routley and Ashcroft, 2009