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A 2020 preclinical study evaluating gabapentin in an experimental colitis model demonstrated: Reduced visceral hypersensitivity Decreased inflammatory signaling Reduced mast cell density and activation markers in colonic tissue Downregulation of pro-inflammatory pathways (including NF-B signaling) Mast cells and enteric nerves communicate bidirectionally in the gut

Laboratory monitoring may include complete blood counts, comprehensive metabolic panels, and hepatic function tests, though specific monitoring protocols have not been established through clinical trials