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[183, 185] While higher proportions of Firmicutes to Bacteroides have been associated with higher risks of obesity, type 2 diabetes and breast cancer, the evidence remains inconclusive, as findings vary widely due to methodological biases, interindividual differences and lifestyle factors [185,186,187,188,189,190,191,192,193] Thus, the Firmicutes: Bacteroidetes ratio is not considered a reliable or reproducible biomarker of nutritional status [191]

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