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Lower respiratory tract barriers and low-biomass microbiota The lower respiratory tract (LRT), comprising the trachea, bronchi, and alveoli, harbors bacterial communities with significantly lower abundance and diversity compared to the URT 95,109

Conversely, if a patient is on an ACE inhibitor or spironolactone (risking hyperkalemia), the mild diuretic effect of QLQX might actually counterbalance potassium somewhatbut this interaction is not well quantified, so monitoring is still essential

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