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Recommendation 2-1) Upon diagnosis of DKA or HHS, dehydration, hyperglycemia, and electrolyte imbalances should be corrected according to protocols

Scott CP, Abel-Santos E, Wall M, Wahnon DC, Benkovic SJ (1999) Production of cyclic peptides and proteins in vivo

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Certain gut bacteria, including Bacteroides , Bifidobacterium , Prevotella , Faecalibacterium , Lactobacillus , and Parabacteroides , ferment indigestible polysaccharides into short-chain fatty acids (SCFAs)such as butyrate, acetate, and propionatewhich enhance epithelial barrier integrity and reduce gut permeability, thereby preventing microbial translocation to extraintestinal tissues [100, 101]

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When consumed in a pre-digested liquid format, they travel directly into systemic circulation and into the skeletal muscle tissue