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A marked reduction was observed in protective phyla, including Bacteroidota, which was significantly decreasedcompromising SCFA production and gut homeostasisalong with a substantial depletion of Actinomycetota, a phylum containing Bifidobacterium, indicating impaired immunomodulatory capacity

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Journal of orthopaedic research : official publication of the Orthopaedic Research Society , 24 (5), 982-9

For people whose deficiency is caused by an absorption problem, injections are the more dependable option

(1986), Megaloblastic anaemia due to vitamin B12 deficiency caused by small intestinal bacterial overgrowth: possible role of vitamin B12 analogues