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In physiological conditions, GALT should allow a tolerance of commensal bacteria and dietary antigens and act as a primary line of defense against luminal antigens and harmful substances in the host [88]

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Furthermore, this case demonstrates the value of a systematic, multidisciplinary approach to evaluating complex presentations, underscoring the importance of considering multiple concurrent conditions, thoroughly reviewing medical history, and conducting a comprehensive diagnostic workup to achieve timely and accurate diagnosis

Figure 1 ) was generally used as an adjunct to standard medical therapy, not in place of it