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The Bacteroides cocktail is a defined microbial consortium developed by researchers at Baylor College of Medicine for the treatment of recurrent *Clostridium difficile* infection (CDI). Unlike traditional fecal microbiota transplantation (FMT), which utilizes screened donor stool, this "defined FMT" consists of a standardized mixture of specific commensal bacterial strains, primarily from the *Bacteroides* genus. The cocktail typically includes six strains: *Bacteroides ovatus*, *Bacteroides thetaiotaomicron*, *Bacteroides vulgatus*, *Bacteroides fragilis*, *Bacteroides distasonis* (now *Parabacteroides distasonis*), and *Bacteroides uniformis*. The therapy is designed to restore the ecological balance of the intestinal microbiota and re-establish colonization resistance against *C. difficile* by competing for nutrients and producing inhibitory metabolites. It was evaluated in a Phase 1 clinical trial specifically targeting the Veteran Affairs (VA) patient population suffering from recurrent CDI.
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