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A certified speech-language pathologist may work on skills such as: Non-verbal communication - teaching communication through gestures, a picture exchange system (such as PECS), an electronic talking device, or another alternative or augmentative communication tool

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In conclusion, this review outlines that a possible future precision approach to cardiovascular prevention would integrate gut and oral microbiome profiling, LC-MS/MS TMAO quantification, and a selected panel of circulating miRNAs into care pathways, which could trigger individualized interventions (dietprobiotics/berberineperiodontal management) with longitudinal monitoringand would be enabled by assay standardization, multicenter RCTs to define actionable thresholds and identify responders, and EHR-integrated decision support that could drive guideline adoption