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The answer is mechanistic

Using a fresh, sealed syringe for each dose draw maintains the sterile chain and prevents cross-contamination

A 2021 study in Gut found that long COVID patients had significantly reduced microbiome diversity and specific depletions in beneficial species, including Faecalibacterium prausnitzii and Bifidobacterium bacteria known for their anti-inflammatory and immune-regulatory properties

Reconstituted: Refrigerate at 28 C (35.646.4 F)