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it does not actively kill all microbes (that would be bactericidal), but it stops them from reproducing, which is sufficient to maintain sterility in a closed multi-dose vial

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doi: 10.1073/pnas.1906908116 Summary Keywords cognitive function, neuroinflammation, oxidativestress, plant-based nutrition, thyroidbrain axis Citation Zhang Z, Xu M-X, Wang N, Shen R, Sun J, Zha M and Wang M (2026) Plant-derived nutritional components in thyroid disease-related neuropsychiatric disorders: mechanistic insights and advances

Mediators of metabolism: an unconventional role for NOD1 and NOD2