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This combination frequently causes problems because of the additive fermentation effects

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Specific alterations include reductions in Prevotella , Coprococcus , and Veillonellaceae , alongside overgrowth of Desulfovibrio (positively correlated with Autism spectrum disorder severity) (258), Sutterella , Ruminococcus , Clostridium , Megamonas , and Candida ( 259, 260), accompanied by an elevated Firmicutes/Bacteroidetes ratio (255)

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