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Oral supplements can help, but they are often poorly absorbed, and quality and potency can vary from one brand to the next
Methane-dominant SIBO tends to cause constipation and responds to different antimicrobials than hydrogen-dominant SIBO, which more commonly causes diarrhea
Without ongoing B12 replacement, deficiency and symptoms will typically recur within months to years of discontinuation
There is no receptor-saturation ceiling here, so more does not simply stop working
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