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A free to indexaccess paper published in the Netherlands Journal of Medicine in Feb 2015 explores the opportunities for health care management by understanding the role of the commensal organisms in the human gut, whilst there are many hundreds of papers published every month now on the microbiome and implications for care, there is still much to be learned.[1]

Old views are being changed rapidly and that throws up confusion and concern, indeed the clinical principles explored since Metchnikoff mainly by non conventional clinicians have obvious but inconsistent implications, and as we constantly discover subtle variations in composition and gene variances relating to the organisms that reside in and on us, the implications are that we need to develop some additional skills (knowledge) to really make this metabolic organ work with us.

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