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Oral bacteria can colonize the gut when swallowed in large quantities (during oral inflammation or periodontitis), with some strains surviving stomach acid through biofilm protection or inherent tolerance, while preexisting gut inflammation creates a favorable environment for their establishment by reducing microbial diversity and stability (Newman and Kamada, 2022)

doi: 10.1080/15384101.2020.1717033 230 LeeWSYasudaSKonoMKudoYShimamuraSKonoMet al

Symptoms of a Vitamin B12 Deficiency Recognizing signs of low levels of B12 is crucial for maintaining overall health

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American Association of Clinical Endocrinology Clinical Practice Guidelines for Medical Care of Patients with Obesity. Endocrine Practice , vol