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These conditions can affect the absorption of vitamins and nutrients, including B12

It may be considered: During periods of high stress or fatigue During recovery from illness or surgery When clinical history suggests deficiency risk As part of a broader, supportive infusion plan All decisions are guided by clinical assessment , not symptom trends

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This suggests that long-term maintenance on an LD rich in carbohydrates may confound some of the microbiome differences commonly reported between mice on HFDs and those on lean control diets which contain fewer carbohydrates