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A consensus clinical practice recommendation endorsed by the Australian Diabetes Society (ADS), National Association of Clinical Obesity Services (NACOS), Gastroenterological Society of Australia (GESA) and Australian and New Zealand College of Anaesthetists (ANZCA)

Accumulating evidence suggests that gut microbiota dysbiosis is involved in IBS pathophysiology, with IBS-associated dysbiosis generally characterized by reduced microbial diversity, depletion of protective commensals, and enrichment of symptom-associated taxa [260]

Carnitines are reported to increase gonadotropins and sex hormone levels as well as improve oocyte health [17]