Suffering from symptoms related to vitamin B12 deficiency (more details below)
Other symptoms of gout in the foot and ankle may include: Swelling: The affected joint may become swollen, red, and tender to the touch
Haleagrahara et al
It will support your bodys balanced demand for bile when needed and support microbial balance in the small intestine.Suggested Use: As needed, take 1 capsule with meals containing fatty foods

Other ingredients Water, centella asiatica leaf water, butylene glycol, propanediol, 1,2-hexanediol, glycerin, diethoxyethyl succinate, panthenol, hydroxyacetophenone, sodium polyacryloyldimethyl taurate, allantoin, cellulose gum, disodium edta, citric acid, dipotassium glycyrrhizate, xanthan gum, inulin, glyceryl acrylate/acrylic acid copolymer, cellulose, fructose, glucose, ascorbic acid, dipropylene glycol, squalane, c12-14 alketh-12, dioscorea japonica root extract, hydrogenated lecithin, asiaticoside, madecassic acid, asiatic acid, sodium hyaluronate, melaleuca alternifolia (tea tree) leaf extract, hippophae rhamnoides fruit extract, hydrolyzed collagen, beta-glucan, caprylyl glycol, nelumbium speciosum flower extract, artemisia annua extract, oryza sativa (rice) extract, saccharomyces ferment, tremella fuciformis (mushroom) extract, solanum melongena (eggplant) fruit extract
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