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Disadvantages related to the use of synthetic materials include the risk of mesh adhesion, erosion of the esophageal wall, and extensive fibrosis resulting in the onset of troublesome dysphagia [38]
Common lab tests and markers include: GGT (serum) - high Bilirubin (serum) - high Microbiome (stool) - positive for gut dysbiosis ALP (serum) - high SIBO (breath) - positive References [1] Li T, Chiang JYL

Shaking rather than gently swirling, using non-sterile water, or injecting directly onto the powder cake can all reduce effectiveness

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