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Figure 8 3.5 Chronic fatigue syndrome (CFS) A growing body of clinical evidence shows that the gut microbiota plays a critical role in CFS, with consistently observed reductions in butyrate-producing bacteria and enrichment of Enterobacteriaceae , together with frequent depletion of anti-inflammatory taxa such as Faecalibacterium (Knig et al., 2021

Im used to it Its basically the same [as insulin]. (P9, female, diabetes)

For most patients, the cardiovascular and metabolic gains justify extended treatment

This approach balances efficacy and convenience really well

ABOUT THE AUTHORS Steve Daveluy, MD, FAAD, is a Professor and Program Director of Wayne State Dermatology at Wayne State University in Detroit, MI

Brook, Jill B