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As per this research, the primary treatment method is supplementation with vitamin B12

Moreover, given the potential links between adipose tissue metabolism and the gut microbiome, correlations between the cecal microbiome and adipose tissue metabolites were examined

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Estrada do Rio da M, 8, 8A e 8B Fervena 2705-906 Terrugem SNT, PORTUGAL Distributed by: WEST-WARD A HIKMA COMPANY Eatontown, NJ 07724 USA Revised June 2017 PIN350-WES/3

Methionine is a methyl donor, Inositol supports cell signaling and lipid metabolism, Choline is required for fat transport and liver function, and B12 supports energy metabolism and red blood cell production