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Understanding celiac disease monitoring patterns and outcomes after diagnosis: a multinational, retrospective chart review study

[31] [32] Yeasts from the soil and from the skins of fruits and berries have been shown to dominate fungal succession during fruit decay

A PHES value of 4 is the most commonly applied threshold in clinical practice and epidemiological studies to diagnose MHE, whereas more stringent cut-offs such as 5 or 6 have been used in some studies to define more severe impairment [84, 85]