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A Western diet high in fat, low in fiber, or high in salt can suppress beneficial gut symbiotic bacteria and activate pro-inflammatory immune responses, leading to an increase in blood pressure (72, 176, 177)

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A further small study done recently on 10 paediatric patients similarly found that intranasal OH-Cbl normalised serum B12 levels in deficient patients ( Subcutaneous B12 Subcutaneous B12 is occasionally used, especially in patients with inborn errors of cobalamin metabolism, who need high pharmacological doses of B12 to maintain their B12-dependent metabolic pathways and related biochemistry within normal range