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Recent evidence shows that gut microbiota plays a significant role in maintaining homeostasis and regulating the MGBA, which influences the neural and GI responses to RT ( 3.7.2 MGBA disruption by RT Using RT in the abdomino-pelvic region can cause gut dysbiosis, due to the reduction of Firmicutes and Bacteroidetes species accompanied by the surge in Proteobacteria species

However, challenges remain, such as insecticide resistance, lack of consensus on the best treatment for chronic infections, limited availability of current treatment drugs, absence of an agreed standard of diagnosis, and no available vaccine (Reithinger et al

Prevent metabolic adaptation , allowing for continued weight loss

It is thus necessary for healthcare practitioners to be mindful of individual body weights and employ appropriate needle lengths to minimize the risk of such complications