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Garcia-Munoz, C

Vitamin D3 administration in MS increased the prevalence of the mucosal-integrity-promoting species such as Akkermansia, together with Fecalibacterium and Coprococcus (372)

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But if your cycles are historically regular and thats no longer the case, that could be a red flag

Previous work has shown that the clock regulates NAD + biosynthesis and deacetylation pathways that, in turn, regulate mitochondrial enzyme activity 4,35