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The mesenchymal compartment Additional monitoring of the functionality of epithelial cells and ECM is provided by MCs, an umbrella term including smooth muscle cells, pericytes, interstitial cells of Cajal and submucosal fibroblasts, which regulate gut motility, vascular and lymphatic support, and lymphangiogenesis [34]

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They may recommend a simple blood test to check your dogs cobalamin levels, or a full workup to rule out other potential causes