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When the gut microbiome is imbalanced, estrogen can be reabsorbed rather than eliminated, which can potentially worsen endometriosis symptoms

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On the contrary, Bacteroides , Parabacteroides , FP , Clostridium leptum , and Prevotella were significantly decreased, and there was a 50% reduction in the high butyrate producer FP (205)

High doses of methylcobalamin are generally well tolerated but should still be used cautiously