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In addition to the aforementioned host factors, mucosal immune cells in the vaginal microenvironment influence the inflammatory state by modulating the release of cytokines and chemokines and can shape the vaginal resistome 89

doi: 10.1021/jf035445w

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Is that part of the reason, other than just blood flow and the other challenges of diabetics, it could be one of the under causing attributes that are causing these diabetic patients to heal poorly, to be chronically inflamed

Plasma levels of L-leucine and coumarin declined following dietary intervention, with the reduction in coumarin remaining robust after correction for multiple testing