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Microorganisms and endotoxin cross the intestinal mucosal barrier into the blood and induce endotoxemia, subsequently leading to injury to the liver and other organs, intestinal inflammation, and rectal carcinogenesis (Elamin et al., 2013)

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Since I entered Georgia Department of Corrections (GDC) custody 30-plus years ago, the prisoner population over age 50 has multiplied by more than five