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Dietary modifications remain foundational for GERD management

The presence of elevated B12 should prompt clinicians to consider these differential diagnoses rather than attributing elevation solely to supplementation

Specifically, dietary peptides such as those derived from gluten and casein have been implicated in the modulation of neurobehavioral outcomes through their effects on neurotransmitter systems and neural circuitry (Fetissov et al

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Bone Res 11 , 12 (2023)