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These substances, particularly endotoxin, can trigger gut inflammation and increase the leakiness of the gut wall, resulting in damage to other organs such as the liver, kidneys and brain.

They have lots of fiber and protein, but also doesn't pack any saturated fat, antibiotics or endotoxins.

After the pharmacist first testified the drugs are tested for endotoxins, the investigation found he later said he didn’t know endotoxin testing was required, Henry wrote.

Only once was a drug tested for endotoxins— one of three required tests — during a May 2018 apparent “test run” before the protocol’s completion.

Nor was there any evidence the state ever told the pharmacy it had to test for endotoxins on all injection chemicals until the night before Smith’s planned execution, the report said.