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The evidence for grain-free as a category causes DCM is not strong, and the data collection that drove the public narrative had documented methodological problems

However, concerns remain regarding: overstimulation of angiogenesis pathways theoretical risks of abnormal tissue growth long-term effects on inflammatory or vascular signaling variability across individual biological responses No controlled long-term human trials exist to clarify these risks

Hypolipidemic effect of Zexie Tang and correlation with intestinal microflora

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