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However, the effect (using 500mg a day dosing) was small only a drop in blood uric acid level of about 0.5 mg/dL, and almost all gout patients need to come down more than this to get to the goal of less than 6.0 mg/dL

Bacterial overgrowth damages the mucosal lining and competes for key nutrients, impairing absorption of fat-soluble vitamins, B12, iron, and zinc

Studies have looked into its effects on glucose metabolism, insulin sensitivity and lipid metabolism with research suggesting benefits for metabolic dysfunction and fat accumulation patterns

Understanding side effect profiles helps determine the right frequency and format for ongoing B12 treatment

PMID: 15504597