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Managing bloating can include eating smaller, more frequent meals, avoiding high-fat and high-fiber foods, staying hydrated, and engaging in regular physical activity

Acknowledgements We thank all participants who took part in the trial and dedicated their time and effort to attending visits, some traveling very long distances

Most protocols start with weekly sessions for 4 to 8 weeks, then transition to biweekly or monthly maintenance

A composition of varied good bacteria and prebiotics is the best route

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Further studies are needed to determine their risk for transformation and optimal clinical management