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We thank Dr Szilagyi for his very interesting comments in his letter regarding dysbiosis in inflammatory bowel disease (IBD).1
The main question remains as to why beneficial bacteria such as bifidobacteria might be lacking in IBD (Gut 2004;53:1–4). Dr Szilagyi describes an interesting hypothesis of colonic prebiotic deficiency as a possible mechanism for dysbiosis. A suggestion …
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