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Clinically significant vitamin B 12 deficiency and megaloblastic anemia are unlikely, unless these drug therapies are prolonged for two or more years, or if in addition, the person's dietary intake is below recommended levels

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The framing conceals three separate leaps: An efficacy leap

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Episodes are brief and resolve without intervention in documented anecdotal accounts

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Gut health issues: Digestive improvements often appear within 12 weeks, with optimal results after 46 weeks of treatment

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If diarrhea persists beyond 4 weeks at a stable dose, consult your prescriber about dose adjustment or alternative therapies

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