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This is not uncommon and may be related to the body adjusting to a rapid increase in B12 availability, especially in patients who were significantly deficient
In this study, composite dietary fiber supplementation significantly elevated levels of butyric acid, valeric acid, and total SCFAs in colonic contents, along with a marked increase in serum butyrate, indicating enhanced SCFA production by core SCFA-producing microbiota and systemic metabolic improvement
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