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doi: 10.1016/j.regpep.2013.03.026

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Even though Saccharomyces isn't the same yeast as Malassezia, fermentation can produce fatty acids in the C11-24 range that Malassezia feeds on

In one trial, nausea and diarrhea were the most common side effects

Barker GA, Green S, Askew CD, Green AA, Walker PJ

Glial cell activation in ME/CFS: implications for neuroinflammation Glial cells, particularly microglia and astrocytes, play a central role in the neuroinflammatory processes observed in ME/CFS