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Additional investigations such as vitamin D, B12, thyroid function, or creatine kinase levels may be considered based on clinical presentation

As per the North American Consensus, the currently agreed numbers that indicate a positive methane SIBO result on a three-hour lactulose breath test are: Methane levels 10 p.p.m
g/ml), followed by that in the liver, stomach wall, spleen, and thymus

Healthcare providers may recommend an initial treatment period of 4-6 weeks with 1-3 doses per week [21]

The number of nanomicelles present in the peptide sample is also taken into account when calculating the dosage
