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Educating patients about this relationship helps them understand the impact of food on insulin requirements and blood glucose control

When gluten is consumed, the immune system of a person with coeliac disease reacts by attacking the villi, which are crucial for nutrient absorption

(2) dissociation of tumor cells from the primary tumor mass, (3) invasion of the neighboring tissue, (4) intravasation into pre-existing and newly formed blood and lymph vessels, (5) transport through the vessels, (6) extravasation from the vessels, (7) establishment of circulating tumor cells (CTCs) and the disseminated cells at a secondary anatomical site, where they can stay dormant for a prolonged period of time, (8) metastatic outgrowth of micrometastases and macrometastases creating clinically detectable secondary tumors and neoplastic process [13]

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