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10.1038/nrn3406 75 LevinJ.SchmidtF.BoehmC.PrixC.BtzelK.RyazanovS.et al

Results may vary depending on individual health status and treatment frequency

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So even if you are getting enough calories, it may be a challenge to get enough vitamins from food alone

A patient with declining kidney function, persistent fatigue despite normal thyroid panels, or immune suppression without an identified cause may have contributing exposures that are rarely considered in standard workup

in SD is further confirmed by effective treatments based on probiotics and antifungal compounds, which were shown to improve symptoms in SD patients [30]