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McMullen says

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And the impact on oral health can be severe: Chew and dip wear down teeth, which can lead to cavities and decay in exposed tooth roots

For instance, fermented black barley, rich in polyphenols and flavonoids, mitigated these effects by restoring microbial diversity, decreasing Lactobacillus , Turicibacter , and Bifidobacterium abundances, and increasing Oscillospira and Ruminococcus
