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Another participant also described reduced psychological distress but had an increase in PHQ-9 score (P3)

10 Fluid Analysis and Classification Initial assessment of fluid retrieved is made on the basis of color and protein concentration, and much information can be gleaned from this simple assessment, even before cell numbers and types are assessed

Dysbiosis is closely associated with various metabolic diseases such as obesity (76), gout (77), NAFLD (78), insulin resistance, diabetes mellitus and its complications (79, 80)

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The GP may consider dose adjustment, additional investigations such as endoscopy, or referral to a gastroenterologist for specialist assessment

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