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The trade-off is pharmacokinetic: oral delivery subjects the peptide to stomach acid (pH roughly 1.5-2.0 fasting) and proteolytic enzymes including pepsin and pancreatic proteases before any absorption can occur

34619776) If the level is below target, then an additional partial load may be administered

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Patients who completed SIBO treatment and cleared the bacterial overgrowth but are still symptomatic because the underlying mucosal damage was never addressed

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