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References Schennach-Wolff R, Seemuller FH, Mayr A, Maier W, Klingberg S, Heuser I, et al

The combination was widely tolerated, and the reported global outcomes urge additional investigation into combinations targeted to shift TME into a pro-inflammatory pattern [103]

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Menses-related dysbiotic, unstable dysbiotic types and constant dysbiotic are associated with shifts toward CST III or IV, driven by host environmental factors such as menstruation, unprotected vaginal intercourse, uncontrolled antibiotic use, vaginal douching, pregnancy and parturition 27,75,76 (Fig