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Moreover, the abundance of bacteria carrying bile salt hydrolase and bile acid inducible enzyme in the gut microbiota of IBD patients, such as Firmicutes , Ruminococcaceae , Lachnospiraceae , and Eubacterium , is reduced

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These agents can affect bile acid pool size and composition, which in turn impacts cholesterol metabolism and TMAO production

The phenomenon is similar to what occurs in vinaigrette, when vinegar and oil are mixed and form tiny droplets

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