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Overall, plasma citrulline is a functional (albeit unvalidated) marker of gut barrier dysfunction (Dey and Bhattacharjee, 2020), and lack of it has been associated with various intestinal diseases, including short bowel syndrome (Jeppesen et al., 2020

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This waiting period allows your body to clear the medication and begin restoring normal metabolic function

Noteworthy, this effect seems greatest when PZQ is administered a few weeks before immunization (169)

Zinc thymulin may be worth discussing when the pattern suggests immune involvement, poor recovery capacity, or an inflammatory load that is not improving with basics alone