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IS is approximately 90% bound to albumin in blood circulation and is primarily secreted and excreted through organic anion transporters (OAT1 and OAT3) in renal proximal tubules (113)

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3 Intestinal microbiome Intestinal microbiome are normal microorganisms in the gut that synthesize a variety of vitamins essential for human growth and development, participate in glucose metabolism and protein metabolism, maintain normal intestinal physiological functions, and antagonize the colonization of pathogenic microorganisms ( Thick-walled phyla , Actinobacteria phylum , Anaplasmomycetes, Clostridium and Methanobacteria phylum

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