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Monitor the whole patient Psychiatric stability and medication adherence Sleep, cognition, energy and exercise tolerance Weight, glucose, lipids and blood pressure Repeat biomarkers only when they will change treatment Methylene blue, peptides and experimental agents: these are treatment-specific topics rather than the foundation of mitochondrial care

Overall, these studies suggested that the alterations of gut microbial composition and abundance may be associated with DN symptoms or pathological changes

Immunity (2017) 46:67589.10.1016/j.immuni.2017.03.019 49 HildemanDAMitchellTTeagueTKHensonPDayBJKapplerJet alReactive oxygen species regulate activation-induced T cell apoptosis

10.1016/j.brainres.2009.09.105 381 WalkerA

These juices contain polyphenols that reduce oxidative stress and increase glutathione peroxidase [20-22], an enzyme that works with glutathione to change hydrogen peroxide (a source of oxidative stress) into water

By addressing systemic metabolic dysregulation, these actions indirectly alleviate reproductive oxidative stress while reinforcing direct antioxidant effects