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Worsening macrocytic anemia : B 12 deficiency may also cause a macrocytic (megaloblastic) anemia BUT, in the presence of folate supplementation, this anemia may be masked so that B 12 deficiency may present with exclusively neurologic features

doi: 10.1186/s12979-020-00192-y

A qualified healthcare professional should always determine your dosage after a thorough assessment

Interestingly, the presence and metabolic activity of Ruminococcus bromii is particularly important when resistant starch is available (Ze et al., 2012)