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The citrate:sodium symporter, which was more expressed in nave_CON than nave_CNCbl40 group, is present only in a few pathogenic and commensal microbes in the GI tract and is required for citrate fermentation [54]

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For people on vegetarian or vegan diets, up to 90% have a vitamin B12 deficiency: even those who take extra vitamins

Importantly, neurological symptoms such as tingling, numbness, or unusual sensations are more commonly associated with B12 deficiency rather than excess