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They also found that treatment with probiotic Escherichia coli strain Nissle 1917 preserved TJs and decreased intestinal permeability, leading to reduced EAE severity and decreased pro-inflammatory cytokines ( The above studies indicate that PwMS indeed experience an alteration in the intestinal barrier due to an altered intestinal immune response and microbial dysbiosis (247)

Herbal and nutritional supplements Certain herbs and supplements can support the mechanisms of GLP-1 drugs: Berberine: Helps regulate blood sugar and supports gut health Cinnamon: Enhances insulin sensitivity Apple cider vinegar: Can reduce post-meal glucose spikes Adaptogens: Maca, Rhodiola, and Holy Basil help modulate stress and hormonal balance Detoxification and environmental health Reducing exposure to endocrine-disrupting chemicals in plastics, pesticides, and personal care products is vital for your hormonal and metabolic health and weight loss