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5.4 Gaps in current knowledge and future directions While genomic plasticity contributes to resistance, the precise evolutionary trajectory of resistant Leishmania strains under drug pressure remains unclear, necessitating longitudinal studies to track genomic changes in response to treatment (Santi and Murta, 2022)

Pure L-Carnitine in its liquid format allows its maximization and assimilation

Certain probiotic strains may produce short-chain fatty acids (SCFAs) through fermentation of dietary fiber, which can theoretically activate receptors on enteroendocrine cells to trigger GLP-1 release

Lifestyle Support: Eating citrus fruits, choosing whole foods, and learning to manage stress can improve overall results

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