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Pathogen infection can lead to the expansion of immunosuppressive cytokines to create a tolerogenic environment conducive to pathogen persistence

Representing the American Gastroenterological Association, American Society for Metabolic and Bariatric Surgery, American Society of Anesthesiologists, International Society of Perioperative Care of Patients with Obesity, and the Society of American Gastrointestinal and Endoscopic Surgeons

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[29] It has also been linked to optic nerve atrophy and neuritis