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These influences include geographic factors like access to healthy food, green space, and healthcare, as well as socioeconomic status, chronic stress, discrimination, and environmental pollution

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They also found a higher presence of Clostridiaceae bacteria in BD patients, with Collinsella specifically enriched in individuals with BD-II compared to those with BD-I, suggesting that different BD subtypes may have distinct microbiome patterns (McIntyre et al., 2021)

doi:10.1007/s007260170017

This leads to systemic improvements in lipid metabolism, reduced inflammation, and enhanced mitochondrial function