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A definitive diagnosis is made by finding increased levels of cystine in polymorphonuclear leucocytes

Probiotics, SCFA-enhancing diets, and engineered microbial consortia are examples of microbiome-directed therapeutics that can restore metabolic balance, lower luminal endotoxin load, enhance barrier function, and reset peripheral immunological tone [185]

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On average, visible skin changes (like brightness and improved tone) appear within 612 weeks of consistent use, but internal benefits like detox and immune support start sooner