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Minerals should be separated from certain medications: Take iron, calcium, or magnesium at least 4 hours apart from levothyroxine Separate these minerals from tetracycline or quinolone antibiotics by at least 2 hours Take fiber supplements at least 2 hours apart from oral medications Protein supplements can be consumed at any time but are particularly useful between meals or as meal replacements when appetite is poor

Effective when absorption is the issue

described increased passage of labeled 4 kDa dextrans and a lowered TEER in duodenal biopsies in patients with compensated and decompensated cirrhosis from different etiologies (150)

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