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In assessing the complex interconnection of gut metabolites with renal and cerebrovascular endothelial dysfunction, proximal tubule dysfunction, and podocyte injury, a study found that metabolites belonging to the retinoic acid signaling and nitrogen metabolic pathways could differentiate normoalbuminuria (P1) from microalbuminuria (P2) and macroalbuminuria (P3) patients
In addition, meaningful weight loss and improved insulin sensitivity contribute to broader metabolic improvement
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