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The microbiome has important roles in inflammatory response and neurologic functioning. Because some patients with acute mania have elevated levels of inflammation, these researchers tested the effects of a probiotic combination on relapse in patients recently discharged following hospitalization for mania.
In the double-blind study, 66 patients continued their medication regimens and were randomized to receive 24 weeks of either Lactobacillus rhamnosus strain GG plus Bifidobacterium animalis subsp. lactis strain Bb12 or placebo. An inflammation score, calculated at baseline, was developed from four measures — immunoglobulin G (IgG) class antibodies to the NR2 peptide fragment of the NMDA receptor; IgG class antibodies to gliadin; IgG class …