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(Bures 2010) While the gold standard of diagnosis is intestinal aspiration, breath tests using glucose or lactulose may also be used to test for hydrogen-dominant SIBO (H-SIBO) or methane-dominant SIBO (M-SIBO), with widely varying sensitivities and specificities

Expected results : 40-60% pain reduction, improved range of motion, better overhead function

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Questions remaining include optimal human dosing, long-term safety, effects across different populations, interactions with diet and exercise, and whether benefits extend beyond weight loss to improvements in cardiometabolic disease outcomes