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Current research on the gut mycobiome in HCC remains limited, though aflatoxin, produced by Aspergillus species, is an established fungal-derived carcinogen contributing to its pathogenesis 99

The extra-protein meal and slightly higher fiber content distinguish this plan

There are multiple contributing factors influencing this trend, including aggressive prescribing of opioids in the past decade, the emergence of synthetic opioids such as fentanyl, and the increasing adulteration of street drugs with other substances such as xylazine (70)(71)

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