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It's a probiotic in the traditional sensebacteria and prebiotic fiber, nothing else

A faint, fleeting fishy scent that fades when the bottle is opened is often harmless and due to headspace volatiles, but a strong, persistent fishy smellespecially in liquids or with visual changes like cloudiness or sedimentis a sign of chemical degradation or microbial contamination and should be discarded

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Adults 65 & older, ask a doctor

This condition, called telogen effluvium, is triggered by the weight loss itself, not the specific medication