Defective tight junctions in refractory celiac disease
, relapse (10, 11), poor healing of the fistulas (35), unhealed intestinal anastomosis (42, 43), massive intestinal resection leading to short bowel (43), and functional incapability of the post-anastomotic remained intestine (43), and, along with these, particularly for multiple sclerosis, direct demonstration of the healing of the severely injured muscles and severely injured nerves and brain injuries (15-23, 59) so far not mentioned with DMDs (61), these results obtained in two models, cysteamine enema and then colon-colon anastomosis and cuprizone may define a particular way not relied on immunomodulation
I am not a medic and the above are only some 'thoughts' prompted by your post - which may well be incorrect (and I hope someone will tell me if they are )
Mounjaro can cause fatigue in some people, often due to blood sugar changes, reduced calorie intake, or the body adjusting, but symptoms are usually manageable, and persistent tiredness should be evaluated by a clinician