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This alternative is MMS

And one shouldn't expect anything else from them

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Individual factors such as baseline gut sensitivity, concurrent medications (especially metformin, which can independently cause diarrhea), and pre-existing conditions like irritable bowel syndrome significantly influence whether diarrhea develops and its severity

Some have modest supporting evidence for minor metabolic benefits

P., Sebastio, G., de Franchis, R., Andria, G., Kluijtmans, L