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Pimentel speculate that SIBO might be difficult to treat in some patients due to the autoimmune component of the disease
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124 Additionally, both CBS and CSE can catalyze -substitution reactions, resulting in the condensation of two L-Cys molecules to produce H 2 S and lanthionine, or the condensation of L-Hcy and L-Cys through , -substitution reactions to produce H 2 S and cystathionine
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