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59, 525533.10.1016/j.neuint.2011.07.003 92 McKennaM

DKD is characterized by intestinal barrier dysfunction (leaky gut) and metabolic endotoxemia, creating a vicious cycle that sustains systemic inflammation and kidney injury

Buratini, J

A reduction in the size of the left ovary in females was also noted, although the authors emphasise that this finding requires further anatomical confirmation