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Furthermore, the probiotic metabolite butyric acid can downregulate intestinal epithelial DMT1 expression and inhibit iron ion influx

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16 However, the burden of gastrointestinal side effects and challenges with long-term adherence limited its broader applicability and underscored the need for more effective and better-tolerated therapeutic alternatives

Chronic Q fever fatigue syndrome (QFS) Chronic Q fever, caused by the bacterium Coxiella burnetii , can lead to Q fever fatigue syndrome (QFS), where patients experience severe fatigue, muscle pain, and concentration problems for years after the acute infection [79]

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