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PMID: 41847009

Finally, although microbial fermentation offers cost advantages (e.g., no need for commercial enzymes), Dora Elisa Cruz-Casas noted that the difficulty of separating and purifying byproducts increases with scale, potentially offsetting these economic benefits

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(2008), measures of enzyme activity were used (creatine kinase, lactate dehydrogenase, aspartate aminotransferase, alanine aminotransferase), allowing a gauge of trauma response (proteolysis) and therefore the ability to further understand the mechanisms of action