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Cell 162 , 441451 (2015)

The gut microbiome has been extensively studied for its role in disease pathogenesis and protective immunity

Diabetes or metabolic syndromes: People living with diabetes or metabolic syndromes, such as high blood pressure, high blood sugar, excess body fat around the waist, and irregular cholesterol levels, may also experience inflammation in the body, which can impact the health of the shoulder and rotator cuff, particularly leading to adhesive capsulitis (frozen shoulder)

2001 Jan 2;98(1):355-60

If you use a smartwatch, note resting heart rate and perceived effort across workouts

doi: 10.1016/j.cmet.2015.11.011 26 WileyCDSharmaRDavisSSLopez-DominguezJAMitchellKPWileySet al
