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Zepbound has not been studied in patients with a history of pancreatitis, or with severe gastrointestinal disease, including severe gastroparesis, and it is unknown if patients with a history of pancreatitis are at higher risk for developing pancreatitis on Zepbound

SCFAs are crucial for modulating intestinal epithelial barrier and bloodbrain barrier integrity, inflammatory responses, and endocrine signaling, playing a vital role in communication along the microbiota-gut-brain axis

Nature 551(7682):639643 Bridges RJ, Natale NR, Patel SA (2012) System x c - cystine/glutamate antiporter: an update on molecular pharmacology and roles within the CNS

In addition, the reduction of nonnative disulphide bonds would lead to an increase in the level of GSSG, particularly if the resulting cysteine residues remain reduced or reform native disulphide bonds through an Ero1catalysed oxidative pathway

Int J Mol Sci 19:19871990