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Patients should be counseled about gradual dose titration to minimize these effects

Rushing through food overwhelms a digestive system that is already operating in slow motion

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Honma & Hayashi 2021)

Comprehensive stool analysis (GI-MAP, Genova GI Effects, or Doctors Data) is reasonable for any child with persistent GI symptoms, sleep disruption clearly tied to gut function, regression after antibiotic exposure, or significant behavioral disturbances that have not responded to dietary intervention