(289) conducted a meta-analysis of 23 RCTs comprising 931 hemodialysis patients, demonstrating that probiotic/prebiotic/synbiotic interventions significantly reduced plasma p-cresyl sulfate (SMD = 0.38, 95% CI: 0.61 to 0.15), endotoxin (SMD = 0.58), CRP (SMD = 0.61), and IL-6 (SMD = 0.92) [Evidence quality: Moderate - significant heterogeneity in intervention protocols]
doi: 10.1016/j.pnpbp.2009.11.003 18 CunninghamM.ReganM
But the GLP-1s on the market now are expensive, must be kept refrigerated and must be injected
Energy and recovery: Improved post-workout recovery, less fatigue after physical or mental exertion, more consistent energy throughout the day
Even simple body-weight exercises, light weight lifting, or resistance band workouts a few times a week can make a big difference