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In another study on a population of 24 patients with MS, lower B12 levels were observed when compared with healthy controls

The accumulation of uremic toxins, such as IS, p-cresol sulfate (PCS), and trimethylamine-N-oxide (TMAO), due to persistent renal injury disrupts the balance of the gut microbiota ( Figure 2 ) [39, 41, 42]

Although the terms alcohol and ethanol are mostly interchangeable in this chapter, we will prefer the term ethanol when talking about the drug

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Results: We included 356 patients