“…Cognitive impacts and PD-related dementia : Cognitive impairment, including dementia, poses a significant challenge in PD, potentially progressing as the disease advances ( 14 , 15 , 17 , 23 , 30 , 41 , 44 , 48 , 52 ). The gut microbiota’s role in cognitive health is increasingly acknowledged, with evidence suggesting that dysbiosis may underlie the cognitive decline observed in PD ( 3 , 4 , 7 , 8 , 11 , 12 , 16 , 18 , 20 , 24 , 26 , 27 , 29 , 31 , 33 , 35 , 37 , 39 , 42 , 43 , 45 , 47 , 49 , 50 , 53 , 55 , 57 , 60 ). Certain bacteria influence the levels of amyloid and tau proteins, associated with neurodegenerative conditions such as Alzheimer’s disease and PD-related dementia ( 9 , 19 , 22 , 28 , 34 , 38 , 46 , 51 , 54 , 58 , 61 ).…”