CMS's DSHP/DSIP Funding Decision: Potential Unintended Consequences for Health Outcomes and State Innovation The views expressed in this article are my own as a public health and state health policy professional and are shared in my personal capacity
[DOI] [PubMed] [Google Scholar] 27.Poorthuis BJ, Jille-Vlckova T, Onkenhout W
Individuals harbor vastly different communities and abundances of myrosinase-producing bacteria (e.g., certain strains of Bacteroides, Enterococcus, and Lactobacillus), leading to profound differences in the efficiency of SFN generation ( 3.3 Host genetics: GST polymorphisms and metabolic destiny Beyond microbial activation, host genetics, particularly polymorphisms in GST genes, play a decisive role in shaping SFNs metabolic fate and tissue retention
Intrinsic factor is only made in the stomach and after a gastrectomy there is little to no more of it or gastric acid, and the active mechanism in the body where B12 is absorbed is either less available or not available at all depending on if the surgery was a total or a part of a gastrectomy