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These include pro-angiogenic molecules: growth factors, including vascular endothelial growth factor (VEGF), hypoxia-inducible factor 1-alpha transcription factor (HIF-1), platelet-derived growth factor (PDGF-B), transforming growth factor (TGF-), fibroblast growth factor, placental growth factor (PlGF), interleukins, as well as anti-angiogenic factors: angiostatin, endostatin, thrombospondins 1 and 2 (Qiang et al

doi: 10.1016/0168-0102(96)01042-5

After a 3-month course of alternating antibiotic therapy using norfloxacin and metronidazole, Marie and colleagues only achieved eradication of SIBO in 31.8% of cases [42]

Whether cycling is necessary from a safety perspective remains unknown