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Preclinical studies have demonstrated that antibiotic treatment induces gut dysbiosis-marked by reduced alpha diversity, a decreased Firmicutes/Bacteroidetes ratio, depletion of beneficial genera, and enrichment of pro-inflammatory taxa (Tejkalov et al., 2023

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The right discussion depends on the patients goals, medical history, current medications, skin concerns, recovery needs, contraindications, pharmacy availability, and licensed-provider review