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Persistent fatigue is not simply a lack of willpowerit is often a signal that the bodys systems are under strain

Common liver enzymes include alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), and gamma-glutamyl transferase (GGT)

Im wondering if I should have just hung in there and that maybe it would have reversed over time(?), in case you have any real-world experience with this in patients

Decreased levels of Prevotellaceae correlate with decreased mucin production, which, along with the changes in Akkermansia abundance, can contribute to increased intestinal permeability