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Kadowaki, "Effects of lactulose on renal function and gut microbiota in adenine-induced chronic kidney disease rats", Clinical and Experimental Nephrology

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If you have markers of inflammation on your gut microbiome test (elevated fecal secretory IgA or zonulin), I recommend glutamine powder

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4.1 Plants exhibiting anti-inflammatory and antifibrinolytic properties Renal fibrosis is a primary contributor to CKD and is commonly managed through measures such as blood pressure control and protein restriction