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10.1111/j.1526-4610.2006.00722.x Headache J

PMC 6939448

Overgrowth of bacteria: Some people develop vitamin B 12 deficiency as a result of conditions that slow the movement of food through the intestines (diabetes, scleroderma, strictures, diverticula), allowing intestinal bacteria to multiply and overgrow in the upper part of the small intestine

The corollary is that the temptation to increase the dose because nothing is happening yet is exactly backwards the protocol is built on consistency, and week 2 is not where you judge it

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