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Indeed, in a model of graft-versus-host disease (GVHD), T-cell-depleted bone marrow transplants fed with TMAO-rich diet exhibited a significant increase in the frequency of F4/80 + CD11b + CD16/32 + inflammatory macrophages relative to the F4/80 + CD11b + whole population, worsening disease severity, and increasing mortality ( Figure 3 Beyond the inflammatory response, choline metabolism is also implicated in IL-4-induced macrophage polarization, critical for immunity against intestinal helminth infection, resolution of inflammation, and tissue repair

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Lastly, the melancholic profile is based on eight items of waking up too early, quality of mood, hypophagia, decreased weight, linkage of mood to time of day (if worse in the morning), view of self, psychomotor agitation and psychomotor retardation (range 024)

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Alcohol loosens tight junctions