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Your doctor decides based on your sugar levels, weight, other conditions, and cost

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According to Korkushko et al

Antibiotic Therapy When it comes to guidelines, the European Alliance of Associations for Rheumatology (EULAR) recommendations acknowledge that gastrointestinal involvement, including SIBO, is common in systemic sclerosis and suggest sequential or rotating courses of antibiotics as the main therapy, but there is no consensus on the optimal agent, dose, or duration [1]

Acharya et al., Figure 3 shows the results of a regression analysis of diabetic patients and control subjects, segregated into four groups based on vitamin B 12 deficiency and oxidative stress