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001) and decreased faecalibacterium (p = 0.022) compared to the remainder of the subjects. In contrast, none the patients in this cluster, compared to 8/20 who clustered with the controls, had elevated levels #links# of akkermansia (p = 0.005, Chi-Squared). We demonstrate decreased faecalibacterium among patients with SpA, consistent with a suspected anti-inflammatory effect of f. prausnitzii. We

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