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Conversely, a few studies reported high levels of vitamin B12 in the blood of patients with a worse COVID-19 outcome 48,49 potentially due to cytolysis leading to the release of intracellular B12 into the plasma and disrupted B12 clearance by the liver, which is often affected in these patients 50

Die-Off Symptoms Its unlikely that die-off reactions would include bloating, but I want to mention them here for those who experience some of the more common die-off symptoms

This includes looking into both short- and long-term impacts at different dosage levels

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1 Q: What causes a leaky gut and how to fix it