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How the Gut Adapts Over Time: Understanding the Bodys Adjustment Phase Other contributors include changes in bile acid handling, altered pancreatic enzyme interaction, and shifts in the gut microbiome that affect how the intestine absorbs water and nutrients

combo of training and life) Poor diet Lack of b12 sources in diet Poor digestion, hindering absorption Heartburn drugs can interfere (because we need acid to absorb B12) While the websites will define for you how much too take and how often, I just felt the recommendation was too high and stuck to taking it once a week for the first round

I also have advocated for "titrate to effect" however---insurances are forcing us to move up at the package insert rate

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