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Furthermore, esophageal epithelial cells produce cytokines and exhibit adhesion molecules, attracting immune cells and promoting inflammation

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While this reaction was first found in individuals undergoing an antibiotic regime, other causes for a herx reaction include: Natural medicine regimens Dysbiosis- also known as an imbalance of the gut microbes Inflammation Detoxification process It is thought that this reaction is caused when bacteria dying off release toxins and cytokines