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Autologous fecal microbiota transplantation (aFMT) is a microbiome-based therapeutic approach that involves the collection, preservation, and subsequent reintroduction of a patient's own fecal microbiota into their gastrointestinal tract. This procedure is typically performed to restore microbial diversity and richness following medical perturbations that cause severe dysbiosis, such as intensive chemotherapy, broad-spectrum antibiotic treatment, or surgical interventions like ileostomy reversal. By replenishing the host's unique baseline commensal bacteria, aFMT aims to correct intestinal inflammation, suppress the dominance of pathobionts and multidrug-resistant organisms (MDROs), and improve metabolic or functional outcomes. Unlike allogenic FMT, which utilizes donor material, aFMT eliminates the risk of donor-acquired infections and ensures host-specific microbiome compatibility. It is currently being investigated for a wide range of indications, including acute myeloid leukemia (AML), ulcerative colitis, weight loss maintenance, and graft-versus-host disease (GVHD) prophylaxis.
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