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In a randomized controlled trial involving 42 patients with BV who had received antibiotic treatment, gluco-oligosaccharide vaginal gel significantly reduced Nugent scores (a Gram stain-based scoring system for the diagnosis of BV) and supported restoration of normal vaginal microbiota, thereby reducing the risk of recurrence 352

doi:10.1097/MCO.0b013e32833e05bc [DOI] [PubMed] [Google Scholar] 42.Ayatollahi V, Dehghanpour Farashah S, Behdad S, Vaziribozorg S, Rabbani Anari M

doi:10.1001/jamainternmed.2018.3034 Das L et al (2018): Unmasking and aggravation of polycythemia vera by canagliflozin

Similar results were observed in the recently evaluated systemic NAM toolbox ( It was clear from our experience with two laboratories, that there is a need to develop and evaluate standardized protocols for dosing methodologies (e.g., Sharma et al

Its not an overnight fix, but with consistent treatments, the benefits start to build over time