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Patients should understand that diagnostic uncertainty does not prevent appropriate treatment and that treatment response can provide additional diagnostic confirmation

The first step is to consult your medications instructions or contact your healthcare provider for guidance

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Especially for lactulose, the urinary recovery can be close to the limit of quantification

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Appl Microbiol Biotechnol 94:13131319 Hara KY, Aoki N, Kobayshi J, Kiriyama K, Nishida K, Araki M, Kondo A (2015) Improvement of oxidized glutathione fermentation by thiol redox metabolism engineering in Saccharomyces cerevisiae