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European Polymer Journal 2022 , 177 , 111473

In addition, Akkermansia muciniphila , a mucolytic commensal, is generally reduced in the gut of these patients, with a consequent increase of the overall mucosal bacteria population ( Faecalibacterium prausnitzii (199) that is well-known to have anti-inflammatory properties through its ability to produce butyrate, allowing for T regulatory cell and T helper 17 regulation (200)

However, if you have a severe deficiency or a condition that prevents proper B12 absorption, injections may be the better choice