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Gram-negative bacteria in the gut naturally shed highly toxic components of their cell walls, most notably Lipopolysaccharides (LPS)
the first lab may measure and report a value of 220 pmol/l, and a different lab may measure and report 380 pmol/l, again in the same blood sample (!) There is day-to-day variation of serum B12
10.1111/j.1600-0897.1984.tb00106.x 13
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