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Reduced intestinal blood perfusion, mesenteric ischemia, and decreased bowel movements caused by cirrhosis have appeared to change the normal microenvironment to be less suitable for beneficial populations of Bacteroides and Clostridium , resulting in invasion and colonization of opportunistic pathogens, such as Enterobacteriaceae and Veillonella
For a standard 5mg dose, add 2.5mL bacteriostatic water to a 50mg vial, creating a 20mg/mL solution where each 0.25mL injection delivers exactly 5mg
Nature (2013)
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