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While we emphasizes on improving clinical diagnosis using microbial signatures, we acknowledge that future validation studies should also include head-to-head comparisons with established non-invasive tests such as FIB-4 and elastography to determine the relative diagnostic performance and clinical utility of microbiome-based approaches

Genome Biol 3 , research0025.1 (2002)

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Notably, patients with insulin-secreting tumors experience a smaller increase in -hydroxybutyrate due to the inhibitory effects of insulin on ketogenesis and lipolysis [76]

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