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FIGURE 2 3.1 Gut-immune axis The gut microbiota plays a critical role in the development and regulation of the host immune system through metabolites such as SCFAs contributes to host immune regulation via multiple mechanisms-including G-protein couples receptor (GPCR) signaling (e.g., GPR43/41), histone deacetylase (HDAC) inhibition and cytokine modulation-one of which involves the context dependent balance of Th17 and regulatory T (Treg) cells to support immune homeostasis in physiological states (83, 84) and diseases like rheumatoid arthritis (RA) or autoimmune hepatitis (AIH) (85, 86)
2018 SCARS Management Services
From a medical standpoint, that is not the issue
Counselling should therefore be contextual rather than isolated
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