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The misplaced endometrial tissue triggers immune system activation, releasing pro-inflammatory cytokines including interleukin-1 beta (IL-1), tumor necrosis factor-alpha (TNF-), and interleukin-6 (IL-6)
Hence, the underreporting of meal intake by individuals who did not achieve weight loss could potentially account for the lack of difference in dietary intake between the two study groups
There had been some initial questions over whether DPP-4 inhibition might compromise immune function, given the role of DPP-4/CD26 in the regulation of T-cell activity
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