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Ann Thorac Surg 114(4):1518, 2022
Findings from a new study suggest that cognitive behavior therapy reduces telomere attrition by activating these protective mechanisms

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In addition, once MODS develops, the gut is continuously injured by a combination of factors intrinsic to critical illness (dysbiosis, ischemia, etc.) and unintended consequences of interventions not aimed at the gut but that injure components of the gut (proton pump inhibitors, antibiotics, opioids, etc.)