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Further, NICE and the BNF says that if there are neurological symptoms present, then every other day injections are the recommended treatment, so all the points you make about B12 being stored and sufficient are not really relevant
Given the intimate symbiotic link between the host and the gut microbiota, it is not surprising to see a divergence from the typical microbiota composition (usually referred to as dysbiosis) in a variety of illness states, ranging from chronic GI diseases to neurodevelopmental disorders
2005;289(2):E266-E271
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