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Fecal microbiota transplant (FMT) capsules, specifically the lyophilised fecal microbiota capsules (LFMCs) developed by Amsterdam UMC, are an investigational microbiome-based therapeutic. These oral capsules contain freeze-dried fecal microbiota obtained from healthy vegan donors. The therapy is designed to modulate the gut microbiome to address the gut-liver axis, aiming to reduce hepatic necroinflammation and steatohepatitis. In clinical studies (notably NCT05821010), they are being evaluated for the treatment of non-alcoholic steatohepatitis (NASH) and metabolic dysfunction-associated steatohepatitis (MASH), typically administered in conjunction with a synbiotic cocktail consisting of *Anaerobutyricum soehngenii*, pasteurized *Akkermansia muciniphila*, *Bifidobacterium animalis* subsp. *lactis*, and fructo-oligosaccharides.
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