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High levels of Strep in the intestine may be a sign of intestinal inflammatory activity, and can result from SIBO , low stomach acid, PPI use, stress, reduced digestive capacity, or constipation

Insufficient protein during rapid weight loss leads to muscle wasting, which worsens fatigue, reduces metabolic rate, and produces the "skinny fat" outcome nobody wants

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Up to 25% of patients have been reported to retain severe neurological symptoms despite the normalization of blood marker levels [8,9]

Use of barbiturates in the treatment of cyclic vomiting during childhood