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In IBD, chronic inflammation disrupts this stabilitypathogenic bacteria (e.g., Ruminococcus gnavus ) proliferate rapidly, while beneficial taxa (e.g., Faecalibacterium prausnitzii ) decline, leading to chaotic microbial fluctuations and reduced diversity (30, 32)

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148 In addition, a small trial completed by 35 women found evening primrose oil at a dose of 2,000 mg, in addition to 40 mg natural vitamin E, twice daily for six months did not relieve hot flashes more than placebo

It helps regenerate liver tissue, making it particularly useful for those recovering from lifestyle-related strain, long-term medication use, or environmental toxin exposure