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When B12 levels are borderline, clinical suspicion remains high, or total B12 is unreliable (as in chronic liver disease), additional tests can provide clarity

I left a list of useful UK B12 (and folate/iron) documents I think are worth reading in one of my replies in thread below healthunlocked.com/pasoc/po

A lower Firmicutes/Bacteroidetes ratio ( Lactobacillaceae ( Eggerthella , Klebsiella , Flavonifractor , Lachnospiraceae ( Prevotella , Eubacterium, and Rhodococcus were significantly enriched, whereas Pseudobutyrivibrio and Dialister were decreased in SLE patients ( Clostridium , exhibits a negative correlation with the SLE disease activity index (SLEDAI) ( Clostridium has declined dramatically, including CB , FP , Clostridium cluster XIVa , and Clostridium leptum ( Clostridium leptum (150) and Clostridium cluster XI ( Clostridium leptum and Clostridium cluster XI , classified as potential conditional beneficial bacteria, which align with the principle of dynamic gut microbial balance and may not be directly linked to therapeutic efficacy

Janet, who has a masters in English literature from New York University, taught at the University of Puerto Rico until 1987 before joining the staff of St