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Phase 3: Maintenance (Weeks 9+) Dose: 0.1 mL (10 units) subcutaneous, 2-3x weekly Pulsed administration keeps the repair signal present without turning the protocol into constant stimulation: Signal sensitivity pulsed dosing is the conservative way to avoid blunting the response over time

prausnitzii, Roseburia , and Bifidobacterium following SGLT-2i administration [1, 33]

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