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Oral supplements may be suitable if you have adequate intrinsic factor production but insufficient dietary intake

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Pak J Neurol Sci (PJNS) 16:12 Silk D, Davis A, Vulevic J, Tzortzis G, Gibson G (2009) Clinical trial: the effects of a trans-galactooligosaccharide prebiotic on faecal microbiota and symptoms in irritable bowel syndrome

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Semaglutide-based clinical evidence from a post hoc analysis of the SUSTAIN (Semaglutide Unabated Sustainability in Treatment of Type 2 Diabetes) trials (SUSTAIN 15