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The villi damage linked to celiac disease is frequently caused by an inflammatory immune-response to gluten.

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However, a study comparing the efficacy of PEG 2 L and senna syrup 120 mg with PEG 4 L found that the combination therapy was not as effective as the larger quantity of PEG, though it was better tolerated (ie, 38% could not finish the PEG 4 L compared with 6% receiving combination therapy).

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