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Results: We included 102 patients

This could have led to an inaccurate recall of individual dietary behaviors or measurement errors, which in turn could have biased the final measures of association

Accumulating evidence further demonstrates that in pSS models, reduced gut microbiome diversity and diminished production of microbiota-derived metabolites lead to decreased tolerogenic dendritic cells (DCs) and Th17/Treg imbalance, consequently promoting autoantibody accumulation and exacerbation of glandular inflammatory responses in pSS (203)

Occasional mild headache in the first few days of a new protocol usually temporary