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106 This activity could, therefore, affect many commensal micro-organisms, such as Bacillus subtilis which utilise this enzyme, thereby resulting in an overproduction in the colon of d-lactate

Black or tarry stool, visible blood in the stool, vomiting blood, severe abdominal pain, unexplained weight loss, persistent fever, anemia, or progressive swallowing difficulty should be evaluated appropriately

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