“…Considering the immune dysfunction in GWI, recent preclinical studies have explored the efficacy of several immune-targeted compounds that have shown some promising results ( Joshi et al, 2018 ; Kodali et al, 2018a ; Ribeiro et al, 2020 ; Shetty et al, 2020 ). In our studies, we have focused on one potent immunomodulatory and anti-inflammatory treatment, Lacto-N-fucopentaose III (LNFPIII), that may be an advantageous treatment option for GWI as demonstrated in two, chemically distinct GWI models ( Brown et al, 2021a , 2021b ; Carpenter et al, 2020 , 2021 ; Mote et al, 2020 ). LNFPIII is a Lewis(X)-containing immunomodulatory glycan found in human breast milk and on parasitic helminths that, to date, has had no documented adverse effects ( Atochina et al, 2008 ; Bhargava et al, 2012 ; Srivastava et al, 2014 ; Tundup et al, 2015 ; Zhu et al, 2012 ).…”