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Future studies using varied diets are needed to determine whether the predominance of Ileibacterium in the cecal microbiome holds pathological relevance
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We suggest regular blood tests to check: Serum Vitamin B12 levels Methylmalonic acid (MMA) and homocysteine levels Complete Blood Count (CBC) to monitor for signs of anemia These results help us adjust the dose
Patients considering combination approaches should understand that this represents an unproven strategy that increases cost and injection burden without documented benefit
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