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Individuals who should not use probiotics without consulting their GP include: Those with severely compromised immune systems (including patients receiving chemotherapy, those with HIV/AIDS, or taking immunosuppressive medications) Patients with central venous catheters or other indwelling medical devices Individuals with short bowel syndrome or intestinal damage People with a history of probiotic-related infections Those with severe acute pancreatitis (where probiotics have been associated with increased mortality in clinical trials) Pregnant and breastfeeding women should discuss probiotic use with their midwife or GP, though many strains are considered safe during pregnancy
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