30 participants with advanced or recurrent gynecological cancer from are enrolled for this study. Eligible participants then provide fecal specimen, blood, vaginal swab, oral mucosal swab and receive food dietary recommendation. Additional samples are collected for results analysis.
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Eligibility Criteria
Inclusion Criteria:
* Adult females \> 18 years old
* Advanced or recurrent gynecological cancer patients from AHMG Advent Health Orlando Gynecologic Oncology Group
* Patients for whom an immunotherapy regimen has been ordered
Exclusion Criteria:
* Patients unable to provide fecal specimens at th…
Inclusion Criteria:
* Adult females \> 18 years old
* Advanced or recurrent gynecological cancer patients from AHMG Advent Health Orlando Gynecologic Oncology Group
* Patients for whom an immunotherapy regimen has been ordered
Exclusion Criteria:
* Patients unable to provide fecal specimens at three time points
* Patients unable to read or understand informed consent
* Taking medications that may affect gut microbiome:
* Proton pump inhibitors (PPIs)
* Metformin
* Antibiotics
* Laxatives
* Patients who are receiving investigational agent
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