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In addition, the SEED subsystems hierarchical database [23] was used to categorize and compare functional activities of the microbiome

Fermented foods (such as tempeh), nori, spirulina, chlorella algae, and unfortified nutritional yeast cannot be relied upon as adequate or practical sources of B-12.39,40 Vegans must regularly consume reliable sourcesmeaning B-12 fortified foods or B-12 containing supplementsor they could become deficient, as shown in case studies of vegan infants, children, and adults

With b12 levels your low I wouldn't advise stopping the injections

Adverse effects observed in trials include nausea, vomiting, gallbladder disease, dehydration, and potential pancreatitis

Some early research has been done using faecal transplantation therapy as a novel type of treatment, again altering the microbiome of the cat with IBD