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10.3760/cma.j.issn.0578-1426.2018.02.004 139 WartenbergM.CibinS.ZlobecI.VassellaE.Eppenberger-CastoriS.TerraccianoL.et al (2018)

Those taking warfarin should exercise caution and monitor INR levels when starting or stopping probiotics, as some bacterial strains might theoretically affect vitamin K production, though evidence is limited and this concern does not apply to direct oral anticoagulants (DOACs)

One signals the change

I experienced significant nausea and vomiting along with some stubborn low blood sugars

This is probably no big deal