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4.3.4 Possible side effects and potential health risks While probiotics are generally safe, they can cause adverse reactions, including bacterial and fungal sepsis, immune system hyperstimulation, microbial resistance, and gastrointestinal issues, especially in vulnerable populations like premature infants and immunocompromised individuals (Sotoudegan et al., 2019)

[Thyroid dysfunction in patients with small intestinal bacterial overgrowth]

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