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These changes were accompanied by increased malondialdehyde (MDA), reactive oxygen species (ROS), and circulating lipopolysaccharide (LPS) levels, together with reductions in antioxidant enzymes such as superoxide dismutase (SOD) and glutathione peroxidase (GSH-Px)

5.3.3 Summary box Conclusion: Intestinal barrier - systemic inflammation axis is common in a variety of interventions and models, so it is the most suitable convergence endpoint/mechanism landing point for different metabolic modules to achieve remote immune regulation

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Combining personalized genetic data with bariatric surgery creates a truly precision medicine approach