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In particular, the pronounced straindependent differences observed among MSD21, MSD24, and MSD37 when grown on the same carbon source (including IR extract) across antioxidant, antiglycation, and prebiotic assays indicate that microbial metabolism and the resulting postbiotic metabolite profiles, rather than the substrate alone, are critical determinants of bioactivity

V.StopaE

However, the demonstration of increased homocysteine levels and the occurrence of anaemia and neuropathy [3] in metformin users suggests that biochemical vitamin B 12 deficiency may be clinically relevant [6]

And if you feel that the initial consultation process is lacking the kind of substance that you typically associate with consultations as a new patient, we'd suggest you consider that a sign that you should seek additional medical advice elsewhere before proceeding