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The treatment given to this patient resulted in an improved microbiome with an increase in bacterial diversity, partly due to an increase in the relative abundance of butyrate-producing bacterial species, which were paralleled by an increase in butyrate concentration, an anti-inflammatory SCFA (Engen et al., 2020)

In cases of severe B12 deficiency or experiencing persistent fatigue, weekly shots may be recommended initially, transitioning to maintenance doses as symptoms improve

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Degradation of Phosphatidylcholines: Phospholipase A2 (PLA2) Pathway : PLA2 enzymes catalyze the hydrolysis of the sn-2 fatty acid ester bond in PC molecules, releasing a free fatty acid (usually arachidonic acid) and lysophosphatidylcholine (LPC)