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Often after damage to the intestinal epithelium, colonization with opportunistic pathogens occurs, and commensal abundance and biodiversity begins to decline [40, 41, 43,44,45, 52]

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Sharma received honoraria for consulting and speaking from AbbVie, Allurion, Amgen, AstraZeneca, Boehringer Ingelheim, Eli Lilly, Novo Nordisk, and Oviva

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Gut bacterial dysbiosis and instability is associated with the onset of complications and mortality in COVID-19