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Animal studies suggest that strains like Lactobacillus helveticus, L

McKnelly, K., Sokol, W., & Nowick, J

Deficiencies in B12 can directly lead to nerve damage and worsen symptoms of diabetic neuropathy.65 While most people can get adequate B12 through diet (meat, fish, dairy, fortified cereals), certain medications including metformin and proton pump inhibitors can impair absorption and raise the risk of deficiency

Liu SZ, Tan XY, Liu T, Ke J, Zou FY, Jia BY, et al

Animal data is a necessary first step, but its far from sufficient on its own to draw conclusions about a drugs effectiveness and safety in humans

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