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Safety : Excess B12 may cause gastrointestinal issues

These bacteria ferment carbohydrates before your body can absorb them, producing hydrogen, methane, or hydrogen sulfide gas

Oral versus intramuscular cobalamin to treat cobalamin deficiency: noninferiority randomised controlled trial, pragmatic and multicenter in the primary healthcare setting (OB12 project)

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While direct human studies in Lyme patients are still limited, KPV peptide clinical research shows benefits in reducing gut inflammation, modulating immune response, and supporting tissue repair