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First: Limit further dysbiosis and prevent pathogen expansion by avoiding unnecessary antibiotics, providing enteral nutrition (fiberrich if tolerated), and early SCFA support ( Akkermansia muciniphila in the PAM-ICU trial) represent a safer alternative

Liao T, Chen Z, Kuang Y, et al

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The high heterogeneity observed across all three subgroups suggests potential differences in intervention intensity, baseline sample characteristics (e.g., age, health status), or study design within these subgroups

The people who experience them are nearly always making the same mistake: too much, too soon