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Abdominal pain, nausea, vomiting, diarrhea, and vertigo have also been reported, and one trial found that the incidence of nausea, vomiting, and vertigo was dose-dependent (77)

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Airway microbiota dysbiosis can regulate the synergistic balance of host immunity and metabolism through a dual pathway of “direct metabolic interaction + indirect immune mediation,” driving the pathological progression of COPD