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It is also noteworthy that one recent report indicates an elevated ethanol intake and reward in diet-induced obese rats after bariatric surgery (Hajnal et al., 2012) that might be associated with higher levels of another gut peptide, ghrelin

These molecules activate and recruit immune cells (M1 macrophages, neutrophils, Th17 cells), which in turn exacerbate oxidative stress and iron dysregulation, creating a self-amplifying cycle