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Some compounding pharmacies sell bacteriostatic water directly

The restrictive nature of the VLCD may lead to muscle loss, nutritional deficiencies, and potential rebound weight gain once normal eating patterns are resumed

However, the impact of the microbiome is less known

Kuo HC and Chancellor MB: Comparison of intravesical botulinum toxin type a injections plus hydrodistention with hydrodistention alone for the treatment of refractory interstitial cystitis/painful bladder syndrome