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Table 1.

Components of the supplement and their mechanisms of action.

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Fig 1.

CONSORT flow diagram.

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Table 2.

Components in the supplement and placebo capsules.

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Table 3.

Comparison of patients in groups 1 and 2 by sex, age, and disease duration.

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Fig 2.

Total 7×7 questionnaire scores in group 1 and group 2 at visits 1, 2, and 3.

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Fig 3.

Qualitative and quantitative composition of the intestinal microbiota genera in patients of groups 1 and 2 at visit 1.

Columns 2 and 3 present the relative bacterial content of a given genus (r.c., represents the normalized number of reads annotated to the current genus) averaged over all samples of a group. The color brightness reflects the average content, whereas the color hue (blue to orange) indicates the difference between the groups. The heatmaps in columns 4 and 5 show the bacterial content profiles of the genera for individual samples. The genera are sorted by a scoring factor, which reflects the magnitude of differences between groups 1 and 2, statistical significance (based on the Mann-Whitney test), and the average bacterial content across all samples.

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Fig 4.

Relative content in the metagenome of genes involved in fatty acid biosynthesis (FAB) in patients of groups 1 and 2 at visit 1 (inferred from taxonomic data).

Columns 5 and 6 show the average content of FAB genes in each group. The heatmaps in columns 3 and 4 demonstrate the relative gene abundance per sample. Samples are re-arranged according to the similarity of gene abundance profiles.

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Fig 5.

Statistically significant differences in the composition of intestinal microbiota genera between groups 1 and 2 at visit 3.

Columns 2 and 3 present the relative content (r.c.) of bacterial genera averaged over all samples in each group. The heatmaps in columns 4 and 5 show the bacterial content profiles for individual samples.

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Fig 5 Expand

Fig 6.

The relative content in the metagenome of genes participating in FAB in patients of groups 1 and 2 at visit 3 (inferred from taxonomic data).

Columns 5 and 6 show the average content of FAB genes in each group. The heatmaps in columns 3 and 4 demonstrate the relative gene abundance per sample. The samples are re-arranged according to the similarity of gene abundance profiles.

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Fig 6 Expand