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1 Introduction Reproduction is essential to the survival of all species

These actions collectively help maintain gut homeostasis, prevent pathogen translocation, and reduce inflammation (155)

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for instance, physical exercise can stimulate VEGF expression, 310,311 leading to cellular level changes, such as stimulation of angiogenesis, increased delivery of neurotrophic factors and oxygen by the vascular system, 312 an increase in the neurogenesis rate and induction of synaptogenesis

Establish clinical governance and oversight As your provider count grows, you need formal governance: a Medical Director or Chief Medical Officer, peer review, quality assurance, standardized prescribing protocols, and clear clinical escalation paths