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Tracking progress helps maintain motivation and identifies problems early

Standing shoulder external rotation (arm at side) Keep your elbow at your side with your thumb up and elbow bent so your forearm is parallel to the floor

Ethics declarations Competing interests M.J.D has acted as a consultant, advisory board member and speaker for Boehringer Ingelheim, Eli Lilly, Novo Nordisk and Sanofi

67,68 In the GI tract, epithelium-lined mucosal surfaces form a selective barrier to limit the passage of dietary antigens and virulence factors from the intestinal lumen