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198 A randomized placebo-controlled trial in 50 patients on hemodialysis found that supplementing with a probiotic formulation containing Lactobacillus sporogenes and fructo-oligosaccharides (FOS) (ie, fermentable prebiotic fibers) for eight weeks led to increased hematocrit, hemoglobin, and red blood cell counts, as well as improved markers of iron status

and the direct reduction of mitochondrial glutaredoxin 2 (Grx2) by TrxR is also of important physiological relevance (Johansson et al., 2004

This underdiagnosis can lead, besides death in 20% when it is not appropriately treated, to Korsakoffs syndrome, a severe dysfunction often following untreated Wernickes encephalopathy, that does not remit even with thiamine treatment and is associated with chronic alcohol abuse and chronic thiamine deficiency (5, 6, 11, 28)

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