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Advanced clinical and laboratory markers can be ordered if there are indications (e.g., intrinsic factor antibodies in cases of gastrointestinal symptoms)

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doi: 10.1007/s004180050228 22 WittMReutterK

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Recent studies have shown that dietary intake can directly influence microbial diversity and abundance, while also indirectly affecting mental health by altering microbial metabolite profiles

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not FDAapproved brands.

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Additionally, efforts to enhance intrinsic neuronal protective mechanisms, through upregulation of neurotrophic factors, restoration of calcium homeostasis, or stabilization of synaptic plasticity, offer further promise [29, 30]

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