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It remains controversial whether vagal innervation of the portal hepatis contributes to the beneficial effects of RYGB on food intake, energy expenditure, and body weight (115)

10.1111/jcmm.16943 198 HuertasJ

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Potential interactions are poorly studied

The pathophysiological mechanisms linking this persistence to post-COVID IBS likely involve: Sustained inflammatory responses with elevated interferon levels Expansion of activated immune cells even 8 months post-infection Intestinal dysbiosis affecting the gut-brain axis Increased intestinal permeability during and after infection These findings suggest that long-term GI symptoms after COVID-19 may stem from ongoing intestinal inflammation driven by viral persistence, rather than merely representing psychological sequelae of the acute illness