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Koethe D, Bortolato M, Piomelli D, Leweke FM (2008)
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High-dose supplementationparticularly intramuscular injections that can deliver 1,000 micrograms or morecreates substantially elevated serum B12 levels compared to dietary intake, which may more readily trigger these bacterial changes, though comparative studies between different forms are limited
Conclusion Increasing healthy bacteria in your gut is a journey, not a destination
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