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In addition to their antimicrobial effects, macrolide antibiotics have been shown to have anti-inflammatory and immune-modulating effects such as mitigating neutrophil-mediated lung damage and promoting mucociliary clearance, effects that occur at doses below the minimum inhibitory concentration for bacterial infections 137,138

Pernicious Anemia: This is an autoimmune disorder where the body mistakenly attacks a protein in the stomach called "intrinsic factor." Without this protein, you simply cannot absorb B12 from food, making injections a lifelong necessity

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