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Study populations and insomnia definitions varied

Data sources: PubMed/Medline, EMBASE, Cochrane Library searches (20002023) using keywords: brain-gut-axis, microbiota, dysbiosis, neuroinflammation, SCFAs, neurodegeneration, psychobiotics. Results: Diet, stress, antibiotics, and environment significantly alter gut microbiota composition (e.g., reducing diversity, shifting Firmicutes/Bacteroidetes (F/B) ratio)