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Tonight it had a huge dried blood scab hanging off to the side and when I trimmed back the hang around that area the tumor was an open sore

This ENS damage is a primary reason SIBO recurs after treatment a damaged ENS produces impaired MMC function, which allows bacterial recolonisation

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High dextrose-containing fluids (10% glucose) should be administered with the addition of electrolytes (sodium as half- or full-normal saline solution, and also potassium if urine output is adequate and renal function is sufficient) at a high rate of 1.5 times the maintenance rate for the particular patient