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Furthermore, in Kenya a local district survey in Embu ( n = 512) revealed that 40% of school-aged children in Kenya had vitamin B 12 deficiency

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However, a 2006 study published in the Journal of the American Medical Association found that a 4,000 mg dose taken for four days caused elevated serum AST and ALT, which are markers of liver injury and damage

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Therefore, restricting these fermentable fibers may result in symptom relief