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Liz McMahon, MPH, an IBS and gut health registered dietitian, primarily recommends capsules, explaining, "probiotics may not do much if they can't make it past your stomach acid, so ensuring that the product is encapsulated is important." Probiotic capsules can be single- or multistrain, and some are designed to be taken on an empty stomach

Gradual dose escalation protocols are used in trials specifically to minimise these effects

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