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At the same time, portal hypertension, intestinal edema, delayed transit, reduced bile flow, and impaired hepatic clearance further aggravate this imbalance, creating a self-reinforcing cycle between gut ecological disruption and worsening liver function [277, 309]
Generally, when treating a B-12 deficiency, youll get a 1,000-microgram shot every day or two for the first week (2)
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