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Mutations in OCTN2 are associated with Crohns disease (CD) due to carnitine deficiency in the intestinal epithelium

And instead of fighting off the problem, a hyperactive immune response may result in the creation of even more symptoms

After 6 months, methylmalonic acid (MMA) levels, the most specific marker for B12 activity of a food or supplement, went from 164 nmol/l to 169 nmol/l which is essentially no change and by itself would indicate no benefit of the multivitamin

10.1081/IPH-200026841 67 LeeT

doi: 10.1371/journal.pone.0161886 105

Ocean N, Howley P, Ensor J (2019) Lettuce be happy: a longitudinal UK study on the relationship between fruit and vegetable consumption and well-being