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In addition, in an acute respiratory distress syndrome (ARDS) model, FMT not only significantly enriched key SCFA-producing taxa with dietary fiber fermenting capacity, such as Muribaculaceae , Clostridia _UCG-014, Prevotella , and Adlercreutzia , but also concurrently suppressed genera like Romboutsia , which may be involved in substrate competition or metabolic imbalance, thereby globally optimizing fermentable substrate utilization (Zhang et al., 2025)

Clinical studies are needed to evaluate whether these in vitro findings translate to measurable adverse outcomes in humans, particularly with chronic use

Competition for Vitamin B12 by intestinal parasites or bacteria