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Conversely, other members of the Firmicutes phylum, such as Clostridium and Enterococcus , are typically found in lower abundances in microbiota influenced predominantly by diets rich in plant-based foods (78, 79)

Consumption of these products has resulted in numerous hospitalizations, [2] and the drugs have been reported to cause hallucinations, increased heartbeat and blood pressure, aggressive behavior, anxiety, muscle spasms, nausea, and vomiting

Some anecdotally report brief drowsiness

Nutritional status, particularly dietary fiber intake, directly influences the composition and function of the gut microbiota