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The patients laboratory workup was notable for the following (abnormal values provided with normal ranges in parentheses): a microcytic anemia (Hemoglobin 8.4 g/dL (12.015.5.0.5) with MCV 87 (80100))

Joseph Burrascano, Jr., for patients who have chronic or late-stage Lyme, the worst reaction is typically around the fourth week of treatment, very similar to serum sickness where one will have a reduction in white blood cells (leucopenia) and an increase in liver enzymes

Glucose- and bile acid-stimulated secretion of gut hormones in the isolated perfused intestine is not impaired in diet-induced obese mice

Endoc Pathol 2004

Bidirectional interplay between gut and liver in inflammatory bowel disease and hepatobiliary conditions