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the human microbiome is the collection
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of trillions of microorganisms living on
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and inside the human body the microbiome
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includes various types of microorganisms
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bacteria are the most numerous but fungi
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viruses and other microbes also play
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roles these microorganisms are mostly
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beneficial and essential for human
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health they aid in digestion and
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nutrient absorption train our immune
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system and protect us from harmful
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the scale of the microbiome is
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impressive microbial cells outnumber
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human cells by a ratio of about 10:1
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together they weigh about 2 kg roughly
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the weight of a human
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brain the microbiome is distributed
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throughout the body with distinct
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communities in different locations the
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skin hosts a diverse community adapted
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to different environmental conditions
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the oral cavity and respiratory tract
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have their own unique populations the
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gut contains the largest and most
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diverse microbial community the
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eurogenital tract maintains specialized
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microorganisms adapted to its unique
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environment our body hosts two main
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types of normal flora resident and
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transient normal flora are
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microorganisms that inhabit our body
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surfaces without causing disease under
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let's compare the two main types of
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flora that live on and in our bodies
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resident flora are permanent inhabitants
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of the body while transient flora are
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temporary visitors resident flora are
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permanent inhabitants that have
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established themselves in specific body
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locations they are well adapted to their
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environments and maintain stable
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transient flora in contrast are
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temporary visitors that may be present
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for hours days or weeks before being
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removed their populations fluctuate
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significantly resident flora provide
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long-term benefits like preventing
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pathogen colonization and supporting
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immune function transient flora may be
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beneficial neutral or potentially
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harmful depending on circumstances
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let's look at some examples of where we
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find resident and transient flora in the
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human body resident flora include
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stafyloccus epidermis on the skin
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lactobacillus in the gut and
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streptococcus in the mouth transient
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flora may include ecoli temporarily on
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hands seasonal respiratory microbes and
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food associated bacteria passing through
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gut both resident and transient flora
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play important roles in our health
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resident flora provide colonization
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resistance by occupying niches that
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might otherwise be filled by pathogens
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they also help train our immune system
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from birth transient flora introduce
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microbial diversity and can bring new
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beneficial functions like additional
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digestive capabilities the balance
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between both types is key to maintaining
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the human skin is home to diverse
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microbial communities that play crucial
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roles in maintaining skin health
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different skin regions harbor distinct
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microbial populations based on the local
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environment conditions the composition
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of skin microbiota is influenced by
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several factors including moisture
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levels pH sebum production and
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temperature let's take a closer look at
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the key bacterial species that dominate
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the skin microbiome stafylocus epidermis
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is the most abundant bacterium on the
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skin surface playing a crucial role in
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maintaining skin health corina bacteria
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thrive in moist areas such as the armpit
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and groin contributing to body odor
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through their metabolic activities
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propionabacteria dominate sebaceous
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regions like the face and scalp where
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they break down sebum into free fatty
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acids that help maintain skin pH the
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skin microbiome serves several important
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functions that benefit our skin and
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overall health let's examine a
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cross-section of skin to better
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understand where different microbial
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reside these microbes interact with skin
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cells in various ways forming a complex
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ecosystem understanding the skin
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microbiome helps us appreciate how these
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microbial communities contribute to skin
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health and immunity section four oral
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and respiratory microbiomes the human
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body hosts complex microbial communities
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in both the oral cavity and respiratory
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tract the oral microbiome is one of the
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most diverse microbial communities in
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the human body containing hundreds of
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bacterial species that form complex
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ecosystems key species include
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streptococcus mutants which forms dental
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plaque and pframonus which is associated
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these and other bacteria have adapted to
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specific niches within the mouth these
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bacteria form dental bofilms through a
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multi-stage process first bacteria
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attach to the tooth surface then they
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multiply to form microcolonies finally a
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mature bofilm develops with a protective
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matrix that shields the bacteria in
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contrast to the oral cavity the
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respiratory tract shows a gradient of
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microbial colonization the upper
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respiratory tract including the nasal
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passages and throat contains various
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microbes however the lower respiratory
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tract is nearly sterile in healthy
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individuals with only minimal microbial
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presence throughout both the oral cavity
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and respiratory tract microbes interact
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with mucous membranes these microbes
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colonize the mucous layer covering
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epithelial cells forming a protective
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barrier and interacting with the host
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immune system one of the most important
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functions of the normal flora in these
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regions is preventing infection through
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competitive exclusion resident microbes
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occupy attachment sites produce
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antimicrobial substances and compete for
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nutrients thereby preventing
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colonization by respiratory
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pathogens the balance of microbes in the
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oral and respiratory microbiomes is
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crucial for health disruption of these
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communities can lead to conditions like
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dental carries periodontal disease or
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infections let's explore the gut
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microbiome and the differences between
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intestines the gut microbiome varies
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dramatically throughout the digestive
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tract with a gradient of microbial
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populations from the stomach to the
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the small intestine has relatively few
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microbes due to rapid transit time and
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antimicrobial secretions like bile
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bacterial density here ranges from 10
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quip to 10 fret colony forming units per
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milliliter predominantly firmicutes and
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proteobacteria filyla the environment is
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less hospitable to microbes due to rapid
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transit time and antimicrobial bile
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salts and digestive enzymes
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this area focuses on nutrient absorption
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rather than microbial
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fermentation in contrast the large
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intestine contains the highest microbial
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density in the human body bacterial
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counts reach an astounding 10 to 10
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squared colony forming units per
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milliliter primarily dominated by
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firmicutes and bactaroides fila these
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large intestinal microbes perform
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critical functions like breaking down
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complex carbohydrates that our digestive
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process through fermentation they
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produce short-chain fatty acids like
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butyrate acetate and propionate which
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nourish intestinal cells and regulate
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metabolism these gut microbes
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continuously interact with intestinal
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cells influencing immune function and
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maintaining the intestinal barrier
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we can observe a clear gradient of
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microbial populations as we move from
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the stomach through the small intestine
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intestine bacterial density increases
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dramatically from approximately 10 to 10
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wqui in the stomach reaching 10 to 10
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fights in the terminal illium and
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culminating at 1011 to 101 quoid in the
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to summarize the key differences the
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small intestine has fewer microbes
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different dominant bacterial filyla and
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focuses on nutrient absorption the large
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intestine has much higher bacterial
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density longer transit time and
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specializes in fermentation of complex
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carbohydrates producing beneficial
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metabolites for the host
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specialized microbiomes exist throughout
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the body adapting to unique local
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environments and providing tailored
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protection the vaginal microbiome is
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predominantly composed of lactobacillus
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species these beneficial bacteria are
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critical for maintaining vaginal
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health lactobacilli produce lactic acid
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which maintains the vaginal pH between
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3.8 and 4.5 this acidic environment
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prevents the growth of pathogenic
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bacteria the vaginal microbiome
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composition changes during the menstrual
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cycle and pregnancy but consistently
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provides a crucial barrier against
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infections unlike most body sites the
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urinary tract is typically sterile above
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the urethra meaning it normally contains
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no microorganisms the sterility is
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maintained by regular urine flow which
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flushes away potential pathogens only
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the urethal entrance may harbor some
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resident microbes this is a stark
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contrast to the vaginal microbiome which
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has a high bacterial load and acidic pH
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while the urinary tract has very few
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microbes and a more neutral
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pH the ear canal supports a sparse but
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specialized microbiome unlike internal
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ear structures which are typically
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sterile the ear canal harbors a small
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community of microorganisms
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this microbiome is primarily dominated
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by stafylocus and coronabacterium
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species camin commonly known as ear wax
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contains antimicrobial compounds that
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help regulate the microbial population
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and maintain ear canal health the
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conjunctiva of the eye supports an
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extremely sparse microbiome this
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environment is continuously cleared by
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blinking which mechanically removes
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microorganisms the tier film contains
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powerful antimicrobial compounds like
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lysosyme which destroys bacterial cell
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walls and lactopherin which sequesters
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iron needed for bacterial growth these
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adaptations keep the eye surface nearly
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sterile each specialized microbiome has
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evolved unique adaptations to its local
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environment the vaginal microbiome
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maintains an acidic pH through
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lactobacillus activity the urinary tract
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remains nearly sterile due to regular
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urine flow the ear canal is protected by
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antimicrobial compounds in serumin and
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the eye conjunctiva is defended by
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powerful enzymes in tears these
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microbiomes have evolved specific
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defense mechanisms adapted to their
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unique anatomical locations and
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conditions various factors shape the
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composition of our microbiome impacting
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which organisms thrive and which decline
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age affects which microbes populate our
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bodies from birth through adulthood to
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old age diet has one of the strongest
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impacts especially on gut microbiome
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composition hormonal changes during
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puberty pregnancy and menopause alter
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microbial communities hygiene practices
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like handwashing and bathing influence
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skin and mucosal microbiomes antibiotic
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use can dramatically disrupt normal
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microbial balance often with lasting
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effects immune system status determines
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which microbes are tolerated versus
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eliminated environmental exposures
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including location animals and plants
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introduce new microbes genetic factors
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influence which microbes can establish
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themselves in our bodies let's take a
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closer look at how diet impacts our
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microbiome diet has a particularly
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strong influence on gut microbiome
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composition with different food groups
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promoting different bacterial
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a diet rich in plant fibers promotes
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beneficial bacteria like bactaroides and
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bifidobacteria while high protein diets
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favor different communities like
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proteobacteria our microbiome also
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changes throughout our lifetime our
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microbiome evolves throughout our
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lifespan beginning at birth and
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continuing to change as we age newborns
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start with limited microbial diversity
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which rapidly increases during infancy
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and childhood diversity peaks in
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adulthood before decreasing in old age
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antibiotics can dramatically disrupt our
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microbiome balance before antibiotic
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treatment our microbiome exists in a
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balanced state with diverse beneficial
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bacteria during antibiotic treatment
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both harmful and beneficial bacteria are
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significantly reduced in the recovery
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phase bacteria begin to repopulate but
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the balance may be temporarily disrupted
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eventually a new equilibrium is
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established though it may differ from
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the original microbiome composition
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multiple factors continuously shape our
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microbiome throughout life from diet and
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age to antibiotics and genetics creating
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our unique microbial
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fingerprint understanding these
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influences helps us maintain and restore
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microbiome health normal flora the
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microorganisms that typically inhabit
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our bodies can become harmful under
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these are called opportunistic pathogens
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normally harmless microbes that take
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advantage of opportunities to cause
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disease one way normal flora becomes
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harmful is by entering the wrong body
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location a classic example is urinary
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tract infections echericia or E.coli
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normally lives harmlessly in our
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intestines but if these bacteria
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transllocate to the urinary tract they
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can cause infection and inflammation
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another way normal flora becomes harmful
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is when host defenses are compromised in
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the oral cavity we normally maintain a
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balanced microbial community when
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factors like high sugar diet poor oral
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hygiene or reduced saliva flow
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compromise our defenses bacteria like
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streptoccus mutants can overgrow and
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carries this shift from healthy
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microbiome to disease-causing state is
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called disbiosis a microbial imbalance
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that contributes to various diseases in
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a balanced microbiome beneficial and
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commensal bacteria dominate with
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potential pathogens kept in check
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various triggers like antibiotics diet
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changes inflammation or stress can
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disrupt this balance leading to
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disbiosis where potential pathogens
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overgrow one of the most dramatic
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examples of normal flora becoming
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harmful is claustrdium diffosil
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infection in a healthy gut a diverse
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microbiome keeps potential pathogens
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like ced difficil in check through
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competition antibiotic treatment while
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targeting pathogens also eliminates
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beneficial bacteria that normally
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cedicil this creates an opportunity for
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seed difficil to multiply rapidly
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causing severe diarrhea inflammation and
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potentially life-threatening
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complications maintaining a healthy
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microbiome is crucial for overall health
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probiotics are live microorganisms that
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provide health benefits when consumed in
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adequate amounts they help restore and
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maintain beneficial bacteria in the gut
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common sources of probiotics include
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yogurt kimchi kefir and
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kombucha prebiotics are specialized
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plant fibers that act as food for
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beneficial bacteria unlike probiotics
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prebiotics aren't living organisms but
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rather nutrients that help existing good
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bacteria thrive when prebiotic fiber
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reaches the gut it serves as nourishment
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for beneficial bacteria helping them
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multiply and produce helpful compounds
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prebiotic foods include garlic onions
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bananas oats apples and flax
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seeds fecal microbiota transplantation
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or FMT is a procedure that transfers
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fecal bacteria from a healthy donor to
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restore the gut microbiome of a
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recipient the process involves
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collecting stool from a carefully
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screened healthy donor processing it in
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a laboratory and then delivering it to
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the recipient through various methods
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such as colonoscopy enema or capsules
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fmt is primarily used to treat recurrent
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claustrdium diffosil infections with
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success rates of around 90% after one or
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treatments there are several practical
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ways to maintain a healthy microbiome in
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everyday life eating a diverse
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plant-based diet rich in fiber provides
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fuel for beneficial bacteria limiting
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unnecessary antibiotic use helps
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preserve your existing microbial
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communities regular physical activity
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has been shown to increase microbial
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diversity managing stress is important
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as stress hormones can alter gut
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bacteria composition quality sleep is
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also essential as disrupted sleep
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patterns can negatively impact the
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looking to the future scientists are
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developing targeted microbiome based
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therapies for various health conditions
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for inflammatory bowel disease
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microbiome based treatments show
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significant promise with clinical trials
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already underway research on addressing
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obesity and metabolic disorders through
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microbiome manipulation is progressing
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rapidly the gutbrain axis connection has
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opened new avenues for treating mental
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health conditions through the
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microbiome early research suggests the
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microbiome may also influence cancer
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treatment responses particularly in
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immunotherapy maintaining microbiome
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health requires both preventive measures
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and targeted interventions as research
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advances personalized microbiome
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approaches may become standard in