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This increased concentration of Enterobacteriaceae may result in increased transit time and IBS-like symptoms (200)

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Management strategies for nausea include slower titration, eating smaller frequent meals, avoiding trigger foods, staying hydrated, and ginger supplementation

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INTRODUCTION The enteric nervous system (ENS) is a vast network of neurons embedded in the walls of the gastrointestinal (GI) tract, often referred to as the "second brain" due to its ability to function independently of the central nervous system (CNS)[1]

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They are typically transient and do not require stopping the protocol

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