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Sometimes the same bacterial issue that causes digestive issues from swallowing the B12 can also cause these heart palpitations, anxiety etc

The Journal of Physiology, 592 (Pt 7), 1425-1426

Current research gaps include long-term safety data, optimal dosing protocols for different populations, and comprehensive efficacy studies in diverse patient groups

Depending on the treatment, patients may start feeling the benefits of the therapy almost immediately, such as improved energy levels, hydration, or reduced fatigue

Various dietary patterns, such as the Mediterranean diet (MedDiet), ketogenic diet, and other health-focused dietary guidelines, have been explored as potential for NDD intervention

Your provider can determine whether either option may be appropriate