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This connection is real, it is supported by research, and it explains part of why people associate the two concepts

It is possible that studies with negative or non-significant results were less likely to be published, which could lead to an overestimation of treatment effects

A 2024 systematic review encompassing 37 studies (17 observational and 20 interventional) revealed that MD adherence correlates with increased microbial diversity, with Faecalibacterium and Prevotella being the bacterial genera most frequently demonstrating increased abundances in both observational and interventional studies (Khavandegar et al., 2024)

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