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This dysbiosis may, in turn, disrupt intestinal immunity and homeostasis, contributing to systemic inflammation and perpetuating a harmful feedback loop

The most important factor is allowing the lyophilized vial to reach room temperature before opening it.

Pharmaceutics 14 (8), 1660

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This is specially made to treat conditions like acid reflux , heartburn , GERD or gastro-oesophageal reflux disease , ulcers , and Zollinger-Ellison syndrome