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An in vitro study showed that kefir enhanced with aronia berry, significantly inhibited -glucosidase activity, but had a lower impact on pancreatic -amylase (195)

Patients with severe liver injury need discussion with a regional transplant center or local transplant team when encephalopathy, pH below 7.3, INR above 3, or renal failure is present

Patient groups Patients were categorized into two groups as follows: Antivenom (ASV) group: 15 patients whose clinical status indicated antivenom administration due to either progressed local or systemic symptoms or laboratory abnormalities