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While a bone marrow biopsy was not conducted in this instance, it is generally not required for diagnosing vitamin B12 deficiency unless there is a concern for hematologic malignancies

So MSM pulls double duty: supporting absorption and potentially contributing to hair structure
Front Physiol 11:572

M.BhandariS

Spearman correlation analysis linked the microbiota changes to fear- and anxiety-like behaviors, suggesting a gutbrain contribution to the observed neurotransmitter imbalance in PTSD rat models (Zhou et al., 2020)
