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Fecal microbiota transplantation (FMT) is a microbial therapy involving the transfer of a fecal suspension from a healthy donor into the gastrointestinal tract of a patient. This specific preparation, developed and studied by the University Health Network (UHN) in Toronto, consists of a fecal slurry containing 50 grams of stool in 500ml of normal saline. The therapeutic mechanism is based on the restoration of a diverse and stable gut microbiota, which provides colonization resistance against *Clostridioides difficile*. By re-establishing ecological competition and restoring bile acid metabolism, FMT suppresses the overgrowth of *C. difficile* and the production of its toxins. It is primarily indicated for patients with recurrent or refractory *Clostridioides difficile* infection (CDI) who have failed standard antibiotic tapers.
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