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And none of those things are occurring
In some cases, the pylorus is not removed

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doi: 10.1159/000028396 49 YouleRJvan der BliekAM

4 This should not be the case in the gastrointestinal tract where corticosteroids induce gastric lesions while prednisolone induced intestinal lesions (which were characteristic injuries) serve to establish prostaglandins cytoprotection in the intestine

The lyophilized form is remarkably stable when stored correctly
