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If there is evidence of neurological involvement, we should initially administer 1 mg hydroxocobalamin intramuscularly (IM) on alternate days until there is no further improvement in symptoms, then given 1 mg IM every 2 months

Allergen notice: Contains milk protein and tree nuts

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and (4) mitochondrial support for neuronal repair via ALCAR.* At a glance what this formula supports Normal intestinal mucosal barrier integrity via L-Glutamine 750mg & Zinc orotate* Enteric nervous system repair support via Lion's Mane hericenones & ALCAR* Normal nerve growth factor (NGF) support for ENS neuron maintenance via Lion's Mane* Normal ENS mitochondrial function and acetylcholine support via Acetyl L-Carnitine 750mg* Normal tight junction protein synthesis and intestinal barrier repair via L-Glutamine* Post-SIBO gut microenvironment rebuilding as part of a comprehensive protocol* Quality you can verify Every batch of SIBO-Rebuild is manufactured in a GMP-certified facility, 100% vegetarian, non-GMO, and third-party tested for purity and potency