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Therefore, an urgent need for more exploration of alternative treatment strategies that can better manage epilepsy (Wang et al., 2021a)

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These include: Bloating and gas : Increased bacterial fermentation produces gases, causing abdominal distension and flatulence Mild abdominal discomfort or cramping : Usually resolves as the microbiome stabilises Changes in bowel habits : Temporary loose stools or, less commonly, constipation Nausea : Occasionally reported, particularly if taken on an empty stomach These symptoms typically diminish within 23 weeks of consistent use

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