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Among the various symptoms associated with Long COVID, the most frequently reported symptoms are fatigue and dyspnoea [9, 11, 17, 18], post-traumatic stress symptoms [19, 20], concentration and memory problems [21, 22], and anxiety and depression [4, 23]

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These microbial-derived signals activate hepatic immune pathways, including toll-like receptor-mediated responses, thereby promoting inflammation, hepatocellular injury, and fibrogenesis