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they are present in 70% of cases, whereas they appear in only 0.5% of people without SLE

Conversely, chronic exposure to stressorsincluding poor diet, food additives, environmental pollutants, or frequent antibiotic usecan induce persistent dysbiosis, promoting the proliferation of potentially pathogenic bacteria and exerting deleterious effects on host health 38,45,46

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While NPs could get certification for those services, not all of them do