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2025 Nov;31(11):1351-1394
Avoid high-fat foods, citrus, chocolate, and spicy dishes at least 3 hours before bedtime, as these trigger acid secretion and impair the sphincter's ability to seal
if IL-6 is blocked from these cells, depression-like behaviors do not occur
How quickly you respond depends on: How low your B12 levels are How long symptoms have been present Your overall health Whether there are underlying absorption problems Whether repeat treatment is needed It is important to have realistic expectations
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