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Westward travel (gaining hours): Less problematic because you're creating a gap, not compressing doses
Without those findings, the elevation is better weighed against the broader metabolic picture and any comorbidities
And like you say, the B12 might not be the cause
For instance, in IBS-C, a lower diurnal amplitude of phase III MMC activity fronts and impaired vagal cholinergic function are more pronounced, whereas in IBS-D repetitive and rapidly propagated bursts of contractions during phase II MMC, a shift toward sympathetic dominance and reduced vagal activity have been demonstrated [18-22]
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