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Vitamin B12 is predominately only acquired naturally from animal-based produce such as meat, dairy, eggs, as well as fish, especially trout, salmon and cod

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While prevalence data for subclinical gut overgrowth is difficult to quantify precisely because it is underdiagnosed functional medicine practitioners report that it is among the most common root-cause findings in patients presenting with chronic fatigue, irritable bowel syndrome, and treatment-resistant mood disorders

Inflammation and treatment resistance: mechanisms and treatment implications