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doi:10.1056/NEJMoa2502082 Verma S, Bttcher M, Brown P, et al

For example, a MedDiet intervention in women with obesity was able to reverse features of dysbiosis by increasing microbiome biodiversity and SCFA-producing taxa (88)

So can alcohol, tobacco, and caffeine use

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If a site skips this step entirely, that is a red flag, not a shortcut worth taking