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This lactate-to-butyrate metabolic pathway is essential for maintaining colonic health, as butyrate serves as a primary energy source for colonocytes, strengthens the epithelial barrier, and exerts potent anti-inflammatory effects [248]

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Total Cost: Emergency room visit: $2,400 Surgical drainage procedure: $3,800 Hospital stay (2 nights): $8,600 IV antibiotics and follow-up: $1,200 Lost wages (1 week): $2,000 Total: $18,000+ for trying to save $300 on legitimate therapy Outcome: The patient fully recovered but was out of training for six weeks and developed antibiotic-resistant bacteria requiring extended treatment