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Moreover, it has been reported that Interleukin-6 (IL-6), that acts both as a pro-inflammatory and anti-inflammatory multifunctional cytokine, is produced locally when contracting skeletal muscles in response to exercise and after strenuous exercise sessions [2628]

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Changes associated with a decrease in short chain fatty acids, such as butyrate, and disruption of intestinal barrier function leading to systemic inflammation has also been described [124]

doi: 10.1016/j.jff.2020.104103

Her bowel movements were normal with no evidence of blood
