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[258] found that aripiprazole, another atypical antipsychotic, was associated with a significant increase in the bacterial richness and diversity in mice

Additionally, certain long-term medicationssuch as antacids or metformincan interfere with B12 absorption

This interaction leads to the activation of regulatory T cells and myeloid derived suppressor cells (MDSCs), while simultaneously reducing the expression of the activating receptor natural-killer group 2, member D (NKG2D) on natural killer (NK) cells