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Adv Exp Med Biol 1043:5364

But both are very effective, and many patients do great on either

For them, the cyanide can accumulate and this form of B12 can make things worse

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Ferroptosis Induces gut microbiota and metabolic dysbiosis in Collagen-Induced arthritis mice via PAD4 enzyme

It restores microbial balance by suppressing pathogenic species while promoting beneficial strains, which in turn preserves intestinal barrier integrity and prevents lipopolysaccharide (LPS) translocationa known trigger for hepatic inflammation and metabolic disturbance