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Cecal levels of Akkermansia muciniphila have been strongly correlated with physiological metrics including glycemia and insulinemia 89 , and Akkermansia has correlated negatively with obesity-related measures 90 and has been implicated in DIO prevention 91,92
A deficiency in this vitamin can lead to fatigue, brain fog, and even neurological issues over time
Patients following such a diet, should be advised to take oral vitamin B 12 regularly
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