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This recommendation is particularly important in patients with comorbid diabetes, where achieving a balance between energy sufficiency and glycemic control remains critical [5, 29]

The sublingual tablet is an alternative way to supplement without requiring absorption in the GI tract but injections are also an effective alternative option

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The estimated size of its core genome (the number of genes present in all isolates) varies depending on the number of analyzed strains, their geographical origin, and the methods used

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