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On the other hand, it could reduce the metabolic burden on each strain and increase the tolerance of the microbial community to harsh environments

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14 It recommends rapid initiation of alternate-day intramuscular hydroxocobalamin therapy, and maintenance of this treatment until all symptoms have resolved or there is no further neurological improvement, with long term B 12 therapy depending on the presence of deficiency on presentation, together with total abstinence from the use of nitrous oxide

Despite the peptides popularity online, rigorous human trials are almost non-existent