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Lentilactobacillus kefiri and other kefir-derived microorganisms alter gut microbiota composition, influencing the intestinal immune system by upregulating anti-inflammatory genes (mucin 6, IL-10) and downregulating pro-inflammatory mediators such as IFN-, GM-CSF, and IL-1 (Carasi et al., 2015)

An empty stomach

In addition, Novo Nordisk provided financial support for medical writing assistance, but had no role in the writing, revision, or submission of the present article

These include: Allergic reaction

Semaglutide and naltrexone can be used concurrently and are not contraindicated, but require baseline liver function tests and careful monitoring for GI side effects