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The inflammation and the fibrosis reinforce each other: inflammatory immune cells drive the tissue scarring, and the hardened tissue traps more inflammation inside, a self-feeding loop that standard interventions never interrupt

232 Evidence from pre/post, quasi-experimental, and some randomized interventions supports the benefits of FIM for food security, nutrition security, diet quality, blood glucose control, hypertension, disease self-management, self-perceived physical and mental health, and health care utilization

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Women not planning pregnancy should discuss contraception options, as fertility may improve unexpectedly during treatment

This can be attributed to the replenishment of key nutrients that aid in tissue repair and reduce inflammation, such as vitamin C and zinc