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coli specifically bind to and alter the function of tight junctions, with consequent massive fluid and electrolyte secretion [81, 82]

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Most available evidence comes from laboratory and animal studies, where researchers have observed potential effects on: Tendon healing Ligament repair Muscle recovery Gastrointestinal tissue repair Angiogenesis Inflammatory signaling Although these findings are promising, robust human clinical trials remain limited

However, the impact of the microbiome is less known