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"Intestinal microbial community structure restoration" refers to therapeutic approaches—such as dietary changes, probiotics, prebiotics, synbiotics, antibiotics (followed by restoration), and especially fecal microbiota transplant (FMT)—that aim to restore a healthy balance and diversity in the gut microbiota. This restoration is associated with improvements in conditions linked to dysbiosis, such as recurrent *Clostridioides difficile* infection, irritable bowel syndrome, metabolic diseases, inflammatory bowel diseases, and some autoimmune and malignancy risk. The target is not a molecule but rather the overall structure and composition of the microbial community within the gut. There is no unique molecular identifier, and the phrase should not be considered a molecular drug target.
Restoration or augmentation of commensal microbial populations; Suppression of pathogenic or dysbiotic taxa; Enhancement of beneficial metabolite production (e.g. SCFAs); Improvement of host immune tolerance; Modulation of bile acid metabolism
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