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The mechanism involves the formation of complexes with the cell wall of bacteria by surface-exposed polypeptides or cell membrane enzymes and adhesion, which blocks ion channels and inhibits electron flow in the electron transport chain which determines adenosine triphosphates (ATP) production by electron scavenging and also the disruption of cell wall integrity (100)

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Long-term use: Clinical trials only ran 12 weeks, so long-term safety data (6+ months continuous use) comes from anecdotal reports

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the difference is the KPV component

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