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And I skipped another trip in between those two when I had already been diagnosed, and was following an extreme elimination diet, but was still extremely symptomatic

Fungi, especially Candida spp., have been identified as potential contributors to poor outcomes in pre-cirrhotic and cirrhotic liver disease 83

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Follow-Up : Depending on your needs, you may be asked to return for regular B12 injections , either weekly or monthly, to maintain optimal levels