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23 In Enterobacteriaceae , a variety of -lactamases, including extended-spectrum -lactamases (ESBLs) and carbapenemases (KPC, NDM, VIM, OXA), are present and confer resistance against last-resort antibiotics like carbapenems

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The balance between these two forms is crucial for maintaining cellular health

Reported effects are mild and transient: Localized irritation or redness at injection site, Mild fatigue or transient headache during initial days, Rare gastrointestinal upset (nausea, stomach discomfort)

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