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Interestingly, the gut-brain-kidney axis has significant implications for the development and progression of CKD, offering options for the management and treatment of the condition

Troches are small dissolvable lozenges that sit in your mouth until they melt, slowly releasing medication through the lining of your cheek or under your tongue

So if you took B12 and felt worse, and your blood B12 is elevated, and you have a constellation of symptoms across multiple systems that's three signals pointing toward MCAS as worth ruling out

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