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A 2023 safety review of probiotics highlighted theoretical and documented risks, including bacteremia or fungemia in high-risk patients, immune dysregulation, and the potential for horizontal transfer of antimicrobial resistance or virulence genes within the gut ecosystem (525)
Fielding R, Riede L, Lugo JP et al
10.1161/CIRCULATIONAHA.116.025629 84 VasanR
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