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doi: 10.1016/j.biopha.2023.114241 38 LvYWuMWangZWangJ

Despite these positive signals, the clinical evidence remains limited by several key factors: small sample sizes, heterogeneity in probiotic strains, dosages, and administration routes, short follow-up periods, and a primary focus on BV and VVC rather than HPV clearance as the primary endpoint

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This patient's isolated drop in weight with preserved length strongly points to an early nutritional deficit rather than an intrinsic systemic disease