“…In the context of FMF disease (Pepoyan et al, 2017;Balayan et al, 2015;Manzano et al, 2023;Touitou and Pepoyan, 2008;Lancieri et al, 2023;Pepoyan et al, 2019b), placebos are employed to evaluate the impacts of probiotics [microorganisms that confer beneficial effects on humans (Pepoyan et al, 2023;Garcıá-Santos et al, 2023;Harutyunyan et al, 2022), animals (Ataya et al, 2023;Balayan et al, 2019;Rodriguez et al, 2017;Wang et al, 2023;Mirzabekyan et al, 2023;S ̌efcováet al, 2023), and plant host metabolism (Rahman et al, 2018;Pepoyan and Chikindas, 2020;Mockevicǐutėet al, 2023)], along with their metabolites, as well as medications in general (Ben-Zvi et al, 2017;Haviv and Hashkes, 2016;Hashkes and Huang, 2015;Hashkes et al, 2014). While placebos have long served as inert controls in clinical trials (Gupta and Verma, 2013;Finniss et al, 2010;Louhiala and Puustinen, 2017), it is essential to recognize that placebo effects are psychobiological phenomena (Pogany, 2017;Hashmi, 2018;Liu, 2022;Schaefer et al, 2023;Shafir et al, 2023) capable of producing effects similar to certain drugs, even when patients are not knowingly given placebos (Bräscher et al, 2022).…”