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While the two hormonal axes are distinct, they aren't entirely isolated

The primary concern is reduced medication effectiveness, which may result in inadequate blood glucose control or diminished appetite suppression rather than harmful side effects

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NICE recommends that people with RA have access to specialist physiotherapy, so ask your GP for a referral if you havent already

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The colon has the largest microbial load in the body and contains about 10 14 bacteria with the dominant phyles of Firmicutes (renamed Bacillota), Bacteroidetes (Bacteroidota), Actinobacteria (Actinomycetota), and Proteobacteria (Pseudomonadota) ( Enterococcus , Lactobacillus , Ruminicoccus , Bacillus , and Clostridium , representing 95% of the Firmicutes phylum