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Side effects are not common but may include: Mild gastrointestinal upset (especially if this is the first time supplementation has been started) Loose stools or diarrhoea at higher doses Greenish discoloration of urine (harmless - temporary) These side effects usually end themselves within a few days as the dog's system adjusts

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The European Food Safety Authority approved pasteurized Akkermansia muciniphila as a novel food in 2021, supporting its safety profile

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