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Description
Impact: Reduces the amount of active drug that reaches the bloodstream

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doi: 10.1098/rstb.2006.1862 111 KelleyABaldoBPrattWWillM

DM can, in addition, disturb the normal gut microbiota (GM), with a consequent loss of beneficial GM metabolites that guard against PMS, particularly the short-chain fatty acids and serotonin

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