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Increased intestinal permeability has been identified as a factor in a wide range of conditions many of which, on the surface, appear to have nothing to do with the gut: IBS IBD: Ulcerative colitis & Crohn's disease Coeliac disease Type 1 and 2 diabetes Hashimotos thyroiditis Rheumatoid arthritis Alopecia Multiple sclerosis Parkinsons disease Polycystic Ovarian Syndrome (PCOS) Alcoholic liver disease Liver cirrhosis Acute pancreatitis Chronic heart failure Depression (2-5) Chronic Fatigue Syndrome / M.E Psoriasis Acne Long COVID Among many others

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Both require refrigeration

Since then, several small orally available molecules have been developed with DPP-4 inhibitory action

Pelletier et al., 2015)