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Aminoglycosides, tetracyclines, and certain other antibiotics may alter gut microbiota composition, potentially affecting the small amount of vitamin B12 that is produced by colonic bacteria, though this is generally not clinically significant for patients receiving injectable B12 supplementation

97 (2), 104108 (2005) S

PubMed, Yue, Xiao, et al

May your inflammation stay managed, your protocols stay evidence-based, and your immune system stay balanced.

Lyophilized powder may be stored at room temperature for short periods but should be kept at -20 degrees C for long-term storage

Other symptoms can include joint pain, frozen shoulder, depression, anxiety, irregular menstrual cycles, infertility, and even heart palpitations