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When the -helices of PrPc refold into -sheets, this gives the pathogenic PrPsc misfolded variants, and then the prion proteins become pathogenic, resulting in neurodegeneration ( 7 Akkermansia , butyrate, GLP-1, diabetes and obesity In this section, we will describe the role that the gut microbes, particularly Akkermansia muciniphila , play in protecting the host from diabetes and obesity, via the release of a protein that induces the secretion of glucagon-like peptide 1 (GLP-1) from intestinal L-cells (Rodrigues et al., 2022)

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This was followed by a 14-day washout period before the participants crossed over to the alternative treatment