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Adding more bacteria to a system already dealing with bacterial overgrowth in the small intestine can worsen symptoms

Yes, asolutely

The Arterial Biology for the Investigation of the Treatment Effects of Reducing Cholesterol (ARBITER) 2 study a double-blind, placebo-controlled trial investigated the incremental effect of adding nicotinic acid (1 g/day) to statin therapy in 167 patients with known CHD and low HDL concentrations on carotid intima-media thickness (CIMT) (82), a surrogate endpoint for the development of atherosclerosis

They are actively discussed on social media and blogs, celebrities share their experiences of using them, and pharmaceutical companies earn billions of dollars from them worldwide

That was a type 2 diabetes drug

Pascart, T