Systematic reviews suggest that certain probiotic strains can modestly improve upper GI symptoms in functional dyspepsia compared with placebo, with good safety profiles overall.61 In IBS, multiple trials and reviews report small but meaningful reductions in abdominal pain, bloating, and stool irregularity for some patients, though results are strain-specific and not everyone responds.63 Spore-forming and Lactobacillus/Bifidobacterium strains are among the most studied
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