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(2019) demonstrated a significant increase in the phyla Firmicutes and Actinobacteria phyla in psoriatic patients compared with matched controls, and psoriatic patients showed significant increases in the abundances of species such as Ruminoccocus gnavus , Dorea formicigenerans , and Collinsella aerofaciens , while species such as Prevotella copri and Parabacteroides distasonis were significantly depleted in psoriasis patients compared with controls

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That puts it squarely in a regulatory gray area whereby it can be procured legally, but there is no standardization, potential for contamination, and unknown long-term effects

Osna NA, Donohue TM Jr, Kharbanda KK