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No other approved or late-stage peptide combines all three of these pathways in a single molecule

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Nandwana, D., Zhang, Y

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Short-chain fatty acids: bacterial messengers modulating the immunometabolism of T cells

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Summary: Vitamin B12 toxicity from supplementation is extremely rare, but persistently elevated serum levels may indicate underlying liver disease, kidney dysfunction, or haematological disorders requiring medical investigation

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