Gummy dosage forms are a nice innovation that can help with adherence, however should be approached with caution as the downside risk can be substantial.

These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only.  We do not give medical advice over the internet. References: Infective endocarditis and oral health—a Narrative Review. https://www.ncbi.nlm.nih.gov/pmc/arti...

Lactobacillus Bacteremia and Probiotics: A Review. https://www.ncbi.nlm.nih.gov/pmc/arti...

How safe is safe?--a case of Lactobacillus paracasei ssp. paracasei endocarditis and discussion of the safety of lactic acid bacteria.https://pubmed.ncbi.nlm.nih.gov/14606...

Endocarditis by Lactobacillus rhamnosus due to yogurt ingestion? https://pubmed.ncbi.nlm.nih.gov/11669...

Infective Endocarditis by Lactobacillus Species-A Narrative Reviewhttps://pubmed.ncbi.nlm.nih.gov/38247...

Endocarditis Caused by Bacillus subtilis. https://academic.oup.com/ajcp/article...

FINAL RISK ASSESSMENT OF BACILLUS SUBTILIS. https://www.epa.gov/sites/default/fil...

Medication Adherence: The Elephant in the Room. https://www.uspharmacist.com/article/...

Defining “Candy-Like” Nonprescription Drug Products. https://www.fda.gov/media/172272/down...

Native Valve Endocarditis Secondary to Lactobacillus paracasei Bacteremia. https://www.consultant360.com/article...

Surgical Treatment of Infective Endocarditis: When to Repair, When to Replace?https://consultqd.clevelandclinic.org...

Initial Presentation of Brucella Endocarditis in a Previously Healthy Eighteen-Year-Old Young Man. https://karger.com/crd/article-abstra...