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lactis HN019 taken daily for 14 days was also shown to reduce transit time and relieve symptoms compared with placebo, with the higher daily dose of 17.2 billion CFUs being shown to be more effective than 1.8 billion CFUs

This process activates KCs in the liver, triggering the release of pro-inflammatory cytokines, including TNF- and IL-6, which exacerbate hepatocellular steatosis

Serious adverse events were rare, and when occurred, they were not attributed to ALC

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Other red flags include billing for cervical strain alongside cervical sprain without documentation supporting both injuries, missing external cause codes for trauma cases, and inconsistent diagnosis codes across multiple visits