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This seems paradoxical given that the supplement contains fiber and butyrate-producing bacteria, but it can happen when the gut microbiome shifts create temporary motility changes
Some patients with multiple recurrent metabolic disorders may develop irreversible neurological damage with residual mental retardation, ataxia, spastic paraplegia, sensorineural hearing loss, optic nerve atrophy, and epilepsy [79, 81]
Pairing B12 with Other Nutrients (Folate, Iron) B12 achieves better results when used alongside specific nutritional elements
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