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Diabetes Metab Syndr Obes 13:20932108 Miller JW (2018) Proton pump inhibitors, H2-receptor antagonists, metformin, and vitamin B-12 deficiency: clinical implications

Monitoring biofilm activity through tools like biofilm thickness sensors or regular measurement of BDOC (biodegradable dissolved organic carbon) can help operators ensure that the biofilm is functioning properly

And it influences the hypothalamic-pituitary-adrenal axis, which connects immune regulation to stress response, an important consideration given that psychological stress is a known trigger for lupus flares

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