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Lee published a second pilot, this time for interstitial cystitis (chronic bladder pain), in the same journal

Syzygium aromaticum extract mediated, sustainable silver nanoparticle synergetic with heterocyclic antibiotic clarithromycin and their antimicrobial activities

Hasegawa, Hiroshi, et al

Product seems legit
BJOG 107 , 10221028 (2000)

Overview Antibiotics can disrupt the balance of your gut microbiome, sometimes causing symptoms like diarrhea
