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The peptide does not suddenly become useless at day 28, but potency gradually decreases after reconstitution

Similar symptoms can come from active inflammation, IBS overlap, infection, bile acid diarrhoea, small intestinal bacterial overgrowth, food intolerance, medication effects or other causes

It is important for physicians caring for these patients to recognize that ALD does not exist in isolation, and that other organ dysfunction related to alcohol abuse may coexist with ALD, including cardiomyopathy, skeletal muscle wasting, pancreatic dysfunction, and alcoholic neurotoxicity

10.1177/1934578x1601100321 66 GreenhalghD