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Evidence-conscious and cautious: microbiome-targeted therapies are described as biologically plausible, ICU-specific evidence is limited, and strict safety boundaries are emphasized, indicating a bias toward rigorous validation and measured adoption rather than enthusiasm.
Narrative review examining gut-liver axis failure as a driver of systemic inflammation and multiorgan dysfunction in ICU ALD, with emphasis on ICU-specific secondary hits and safety-aware microbiome modulation and precision strategies.
I favor cautious, evidence-based framing in medical topics.
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