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The observational design of the study allows for potential confounding of results as it does not take into account socioeconomic status, physical activity levels, dietary quality, and health-seeking behavior from the persons evaluated, Carcas, who was not involved in this study, explained

[25] Low platelet count (thrombocytopenia) and low white blood cell count (leukopenia) may be due to the disease or a side effect of pharmacological treatment

Gastrointestinal side effects like diarrhea, vomiting, or dehydration also disrupt gut flora

In individuals with type 2 diabetes (T2D) , endogenous GLP-1 secretion is reduced and its metabolic actions are attenuated