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Nelson, an internal medicine doctor and pulmonologist for over 60 years and triathlete, shares the history of his life, his medical career, and how he participated in 300 triathlons

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Nevertheless, it remains unclear whether these microbial alterations represent primary drivers of PD pathogenesis or secondary consequences of disease-associated factorsincluding dietary modifications, pharmacological interventions (particularly levodopa, which alters gut motility and microbiota), and diminished physical activity

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