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Description
This initial step is crucial and can be impaired in individuals with reduced gastric acid production, such as older adults or those taking proton pump inhibitors (PPIs) or H2-receptor antagonists

Mice fed with an high fat diet (HFD), or patients with obesity or diabetes show a change in this ratio with elevated levels of Firmicutes and Proteobacteria compared with the beneficial species, Bacteriodetes

I am 43 years healthy dont have any medical conditions and my covid 19 test was negative
Only one trial has reported on the utility of routine systematic cognitive screening (there was no requirement for cognitive concern) in older primary care patients without a diagnosis of cognitive impairment