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this adds contraindications screening (including MTC/MEN2, pancreatitis, gallbladder history, severe GI concerns, pregnancy) and red flag symptom triage, a staff intake processing checklist, an eligibility decision tree + one page flowchart, a readiness triage grid, baseline metrics/labs checklists, and provider review documentation for consistent decisions

doi: 10.1016/j.euroneuro.2011.04.002

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3.5.3 Microbial metabolites, immune modulation, and disease progression Altered microbial metabolism in CFS/ME extends beyond SCFAs