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Start with half servings (1015g protein) and consume between meals rather than as meal replacements to minimise gastrointestinal discomfort

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doi: 10.1111/dme.12328 216 RiddleMCAronsonRHomePMarreMNiemoellerEMiossecPet al

Treatment of viruses, bacteria, and fungi, whether by taking antibiotics or starting a low-carb diet, can trigger a Herxheimer reaction

Other research suggests that conditions like trigeminal neuralgia, which affects the facial nerves, can also improve with B12 supplementation