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The Medical Ethical Committee of the AMC provided a letter of no objection to perform the study as formal consent of patients is not required in the Netherlands for retrospective studies

In fact, a recent study reported that the microbiome in ALS mice helps restrain pro-inflammatory microglia, which is opposite to what happens in AD models [219]

Liver supplements (milk thistle): Often taken for liver health, 28% of milk thistle supplements were shown in one study to have a high concentration of mycotoxins.[ref] Coffee: Older studies show that mycotoxin contamination was fairly common in coffee.[ref][ref] However, newer testing shows that many organic brands of coffee are both mycotoxin and pesticide-free