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Aminoglycosides, tetracyclines, and certain other antibiotics may alter gut microbiota composition, potentially affecting the small amount of vitamin B12 that is produced by colonic bacteria, though this is generally not clinically significant for patients receiving injectable B12 supplementation

Our large intestines are also major workhorses of detoxification

When deficient, you may be more susceptible to infections

This sequestration increases the pool of free G-actin available for cytoskeletal remodeling, enabling cells to reorganize their internal architecture and migrate toward injury sites

Conversely, poor or no documentation of even the best clinical care can make you an attractive target. Documented clinical rationale plus documented informed consent equals the primary defense in both board investigations and malpractice claims