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Bacteroides , Clostridium , Lactobacillus , and Bifidobacterium are confirmed to carry out the deconjugation, oxidation and epimerization of BAs, and subsequently, Bacteroides , Clostridium , Eubacterium , Lactobacillus and Escherichia convert the unconjugated CDCA and CA into the secondary LCA and DCA ( Ileal BA transport is an efficient system, accounting for 95% intraluminal BA reabsorption at the terminal ileum

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Peptide Vials (SS31, 10 mg each): 8 weeks (Standard: 510 mg/day) 50 vials 12 weeks (Standard maintenance at 10 mg/day) 77 vials 12 weeks (Advanced: escalating to 15 mg/day) 105 vials Insulin Syringes (U100, 1 mL capacity): Per week (standard dosing): 7 syringes (1/day) 8 weeks: 56 syringes 12 weeks: 84 syringes Advanced protocols with split injections may require 2 syringes per day for higher doses Bacteriostatic Water (30 mL bottles): Use 1.0 mL per vial for reconstitution