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doi: 10.1111/imr.12567 29 VenturaMOtoolePWDe VosWMVan SinderenD

Degertekin CK, Yilmaz BA, Toruner FB, Kalkanci A, Iyidir OT, Fidan I, Arslan M

5 sessions dramatically outperformed 3 sessions (p = 0.0025) Compared to the same group's earlier 3-session protocol, the 5-session approach produced significantly better outcomes: median TSAR of 26.5% versus 10% with 3 sessions (Mann-Whitney U test, p = 0.0025)

Most patients with mildly elevated B12 and no identified pathology require only periodic monitoring with reassurance once serious causes have been excluded

Bifidobacteria or fiber protects against diet-induced microbiota-mediated colonic mucus deterioration