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Bacterial overgrowth damages the mucosal lining and competes for key nutrients, impairing absorption of fat-soluble vitamins, B12, iron, and zinc

This suggests that a disturbed BA circulation in FM may negatively affect mental health and contribute to depressive symptoms, highlighting an essential aspect of the condition that may be linked to the gut-brain axis and may offer pathways toward personalized treatment approaches tailored to specific subgroups of FM patients