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These operational arguments might bring the long-standing theory into practice, starting with the initial argument of the lack of degradation in human gastric juice for periods of time longer than 24 h (for review see, [1,3,4,5,6,9,32,33,34,92]), and thereby its therapeutic effectiveness (including via a therapeutic per-oral regimen) and pleiotropic beneficial effect (for review see, i.e., [1,3,4,5,6,9,32,33,34,92])

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The empty stomach requirement matters because food presence affects gastric pH and transit time