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However, a meta-analysis of four randomized controlled trials was not able to show this treatment was more effective than placebo
If your diet includes no meat or fish, and minimal dairy, your B12 is almost certainly falling short
This cautionary stance is not anti-innovation
Supporting a dominant role for diet composition in establishing the Firmicutes : Bacteroidetes ratio, previous work has shown that mice maintained on a high-fat diet had a similar cecal Firmicutes : Bacteroidetes ratio to those maintained on a high-carbohydrate diet 77
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