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However, it is important to acknowledge that changes in the bacterial composition of diet do not necessarily translate into GM functional changes ( Bifidobacterium and lactic acid bacteria, including Lactobacillus , which were studied as probiotic supplements in RA patients, are some of the microorganisms present in many fermented foods ( Even though fermented foods can be classified as probiotics if they meet the required criteria, it is important to clarify that fermented foods are not equivalent to probiotic foods since many fermented foods do not have evidence of a demonstrated health benefit conferred by well-defined and characterized live microorganisms ( Considering all these findings, fermented foods can be probiotic carriers and may be a promising alternative to probiotic supplementation for RA patients

23 Wilson DC, Phillips MJ, Cox DW, Roberts EA

Antioxidant activity of lactobacillus plantarum strains isolated from traditional Chinese fermented foods

doi: 10.1111/j.1572-0241.2003.08699.x 77 SongZLuoWZhengHZengYWangJChenT

Geneva: Springer international Publishing Switzerland;2016.p

Moreover, consumption of NSAIDs for pain alleviation is restricted as medication such as Ibuprofen interferes with the PRP treatment