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This is a reason to exercise caution when prescribing in patients who already have pre-existing gastroparesis, which is common in patients who have type 2 diabetes

Therefore, we hypothesize that the imbalance in intestinal microorganisms and enzyme activity is one of the mechanisms underlying the development of diarrhea with kidney-yang deficiency syndrome

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Chin J Dig Dis 6(4):193197 Kim B-K, Lee I-O, Tan P-L, Eor J-Y, Hwang J-K, Kim S-H (2017) Protective effect of Lactobacillus fermentum LA12 in an alcohol-induced rat model of alcoholic steatohepatitis