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Because they are commonly treated as complementary

Furthermore, several animal model studies have suggested that certain gut Clostridia species may alleviate hepatic inflammation by modulating bile acid metabolism through their influence on immune-related pathways, such as the Farnesoid X receptor (FXR)/Vascular adhesion protein-1 (VAP-1) and the 7-dehydroxylation reaction (222224)

Several developments will reshape this landscape within the next 12-24 months

doi: 10.1002/bies.201900238

Without patent protection, no pharmaceutical company can recoup the $100M+ cost of running the clinical trials required for FDA approval