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When detected, a B12 deficiency is usually treated with vitamin B12 injections or B12 supplements
subsequently, in the intestine, bacteria belonging to the phyla Firmicutes and Actinobacteria employ 7-dehydroxylase enzymes to transform these primary bile acids into secondary bile acids, including DCA, lithocholic acid (LCA), and ursodeoxycholic acid (UDCA) (Collins et al., 2023)
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Before sticking the needle into the vial, always clean the top of the vial with a NEW alcohol wipe
If the stall continues beyond 4 weeks at 7.5 mg, evaluate whether dietary compliance has shifted
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