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And also including fasting

Schwinger RH, Pietsch M, Frank K, Brixius K

Ensuring the stability and shelf-life of probiotic products is essential to maintain their effectiveness ( Developing clinically efficacious probiotics remains challenging and must adhere to various requirements to ensure their safety and effectiveness

Furthermore, Azzawi et al

29 HLA-B7, 30 HLA-B16, HLA-B35, 31,32 HLA-B38 and HLA-B39 33 have also been associated with HLA-B27-negative AS in various ethnicities with unknown mechanisms