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Beneficial bacteria like Akkermansia muciniphila and Bifidobacterium populations shift, while bile-tolerant species temporarily expand
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It's characterized by improved triglycerides (often 150 to 400 mg/dL), low HDL cholesterol (below 40 mg/dL in men, below 50 mg/dL in women), improved apolipoprotein B, and a predominance of small, dense LDL
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