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Most patients feel relaxed or energized, but some may experience mild flushing, headache, or nausea

In section XIX

Comparison of microbiological, histological, and immunomodulatory parameters in response to treatment with either combination therapy with prednisone and metronidazole or probiotic VSL#3 strains in dogs with idiopathic inflammatory bowel disease

Physiol Rev 99:555604

35 IshikawaY.TachibanaM.MatsuiC.ObataR.UmezawaK.NishiyamaS