(163) found no significant differences in alpha diversity in ALS patients compared to controls overall, but observed a higher abundance of Enterobacter , Clostridium , Veillonella , Dialister , Turicibacter , and Acidaminococcus species, and lower abundance of Prevotella , Lactobacillus , and Butyricimonas
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This may include dose adjustment, slower titration, additional supportive measures, or transition to an alternative therapy if necessary
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