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Remarkably, reactive oxygen species (ROS) generated through colonic urea metabolic processes demonstrate capacity to induce renal tubular epithelial cell mitochondrial functional catastrophe, exponentially accelerating tubulointerstitial fibrotic transformation and establishing a devastating gut-derived urearenal injury pathophysiological cascade amplification phenomenon (Rukavina Mikusic et al., 2020

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Within the intestinal epithelium, S1P serves as a crucial regulator of epithelial cell barrier function by activating the receptor S1PR1 located in intestinal blood vessels

We believe this is especially the case in medical treatment scenarios where assistance by the caregiver receiving the CTS is necessary to ensure a successful treatment outcome for the patientfor example, when the patient cannot follow through with the treatment plan for themselves