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Balabanian, Todd Logan and Brandt Silver-Korn of Edelson PC

Parents should consult a pediatric endocrinologist or obesity medicine specialist to discuss individual options

For persistent symptoms, there are prescription medications available that can help reduce stomach acid and improve symptoms

Any acute confusion requires urgent medical evaluation

Besides diet, there is currently great interest in the use of probiotics and prebiotics, such as Lactobacillus plantarum MB452 or Lactobacillus rhamnosus GG, which have been shown to improve intestinal epithelium survival and cell junction expression, while administration of Bifidobacterum infantis has been correlated with reduced serum endotoxins in mice [15]

Gastrointestinal interactions also merit attention