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The FDA strongly recommended that the firm engage a third-party consultant with relevant sterile drug manufacturing expertise to conduct a comprehensive assessment of operations

Contraindications and cautions include: Immunocompromised states : Women with HIV/AIDS, those receiving chemotherapy, or taking immunosuppressive medications should consult their specialist before using probiotics, as rare cases of probiotic-related infections have been reported Central venous catheters or other indwelling devices : Risk of bacterial translocation, particularly with Saccharomyces boulardii, which has been associated with fungemia in seriously ill patients Severe acute pancreatitis : Probiotics are contraindicated in this setting Known allergies : Some probiotic products contain dairy, soy, or other potential allergens Drug interactions : There is no evidence of direct pharmacological interactions between probiotics and GLP-1 medications

However, those losing weight rapidly or starting with lower body fat may feel a dampening effect on their reward system

[DOI] [PMC free article] [PubMed] [Google Scholar] [135].Garber A, Henry R, Ratner R, Garcia-Hernandez PA, Rodriguez-Pattzi H, Olvera-Alvarez I, Hale PM, Zdravkovic M, Bode B, L.-S