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There are also reports that rupture of the respiratory or intestinal epithelial barrier and weakening of other barriers, for example, the bloodbrain barrier or the vascular endothelial barrier, may facilitate the development of metabolic and autoimmune diseases [55, 81,82,83,84]

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He believes the limitations of these hormonal drugs just underscore how much we have to learn when it comes to understanding all the complex forces regulating weight and metabolism

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