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10.1002/adma.201802244 74 XiongY.-X.XiaoC.LiZ.-F.YangX.-L

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Under a 1997 law, the first passed by Congress to regulate the industry, compounders can only use ingredients that are a component of an approved drug, have whats known as a USP monograph (essentially a third-party certified recipe for a drug used mainly by manufacturers of generics), or are listed as approved substances by the FDA

In vitro studies have shown that Lactobacillus promotes the proliferation and migration of intestinal epithelial cells, regulates the expression of tight junction proteins claudin-1 and occludin, reduces paracellular permeability, and prevents the nuclear translocation of NF-B p65 in intestinal epithelial cells, thereby inhibiting the release of proinflammatory cytokines TNF- and IL-1 (107, 108)