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Theoretically, it is determined quite a bit by genetics

Effect of Lactobacillus acidophilus and Bifidobacterium bifidum supplementation to standard triple therapy on Helicobacter pylori eradication and dynamic changes in intestinal flora

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Table 1 demonstrates that imbalances in the gut microbiome can lead to various health issues within the gastrointestinal tract

All animal experiments were conducted in accordance with the ARRIVE guidelines and the U.K