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Tryptophan (Trp) The gut microbiota plays an important role in controlling the availability and metabolism of Trp, which directly or indirectly regulates metabolic homeostasis and even appetite [107,108,109,110]

Ultra-Processed Foods These items often combine multiple factors which may trigger side effects: High sodium content Artificial additives Refined carbohydrates Excessive fats Caffeine may also exacerbate heartburn symptoms in some patients

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Patients should maintain open communication with their healthcare team, reporting any new or worsening mental health symptoms promptly