The main reason: the lack of randomized controlled clinical trials in humans
The mechanism by which bacteria traverse the mucosal barrier remains unclear, with the most convincing studies suggesting that a specific transcytotic process involving specialized cells overlying the domes of intestinal lymphoid aggregates (Peyers patches) termed M-cells, which are characterized by a sparse glycocalyx, short and irregular microvilli and a microfold appearance [16, 17]
Can SIRVA be prevented
(10) M Backmund, K Meyer, H B Rothenhaeusler, and M Soyka (1998) Opioid detoxification with delta sleep-inducing peptide: results of an open clinical trial Journal of Clinical Psychopharmacology, 1998 Jun, Volume 18 (Issue 3), Pages 257-8
This pentadecapeptide, derived from human gastric juice, demonstrates remarkable healing properties across multiple tissue types in preclinical research
Int J Biochem Cell Biol 2007;39:184351