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In this hindgut fermentation, the material from the cecum is expelled as "cecotropes" and are re-ingested, a practice referred to as cecotrophy

Steroids are usually only used to treat the active disease because their long-term use is associated with a range of adverse side-effects

doi: 10.3390/nu14132702

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Individuals who adhere to a diet where B12 intake may be limited, are also good candidates, as well as individuals with conditions that affect B12 absorption

This allows for faster absorption compared to oral supplements, since nutrients bypass the digestive system