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Despite growing interest, microbiota-based stratification strategies face several barriers, including the lack of highly specific microbial biomarkers, significant interethnic and geographic variation, and the complex nature of host-microbiota interactions (166, 167)

However, the medication's profound metabolic effects create an indirect hormonal cascade that may influence reproductive health

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Lohr KM, Stout KA, Dunn AR, Wang M, Salahpour A, Guillot TS, et al

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