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great therapeutic potential. However, better designed clinical trials in the multicenter setting with a large sample and long duration of intervention are needed to identify the specific strain or combination of probiotics and prebiotics which will be more beneficial and effective in patients with inflammatory bowel disease. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.net.Lyme carditis (LC) is an early-disseminated manifestation of Lyme disease, most commonly presenting a