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In a related finding, A related study reported that people with BD had lower levels of Faecalibacterium , a beneficial bacterium known for producing butyrate a short-chain fatty acid important for gut health

If deficiency or tissue utilization concerns arise, functional markers like methylmalonic acid (MMA) and homocysteine levels may offer additional context (source: Harvard T.H

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It is less preferred but used when there is less chance of absorption through skin