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Thiamine also appears to have direct anti-inflammatory effects in the gut of ruminant animals, showing a reduction in intestinal permeability through enhanced production of barrier proteins, protection against bacterial lipopolysaccharide-induced inflammation, and improved barrier function

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For someone on a GLP-1 medication where transit time is already extended, this can make the difference between a comfortable daily bowel movement and going 3-4 days without one

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This means that individuals within an MDL are not beholden to the resolution for an entire class, like a class action lawsuit