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While antibiotics do help kill the bad bacteria, they also end up killing the good bacteria necessary to keep SIBO from returning

glabrata is known to present a low susceptibility to azoles (Arendrup et al., 2013) and a significant resistance to amphotericin B (Pappas et al., 2016), which was proposed to be associated with the presence of fungal cell wall transporters and their increased activity in the export of antifungal agents (Cavalheiro et al., 2021)

Avoid brushing immediately after acid exposure

Because of drug shortages and accessibility issues, FDA-approved compounding pharmacies are permitted to create bioidentical versions of these medications

Complex medical histories: Individuals with significant medical conditions, multiple concurrent medications, or health factors that require hands-on clinical monitoring may benefit from in-person medical supervision rather than a telehealth-based model