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This interaction both disrupts peptidoglycan assembly in spore-forming bacilli and promotes the aggregation of nisinlipid complexes that create pores in the cytoplasmic membrane, leading to loss of membrane integrity and cell death (198, 199)

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It is essential to consult your healthcare provider before making any changes to your treatment plan

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If more than four days, skip that dose, take your next dose as scheduled

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[67] studied a cohort of over 400,000 T2DM patients above the age of 65 and found that DPP-4i were associated with a 21% decrease in the risk of MACEs (including myocardial infarction and ischemic stroke) with a 46% overall decrease in risk of all-cause mortality

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