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After a week, my lower back pain is completely gone so I tried to take 2 capsules/day again but have to always drink water regularly to avoid having a lower back pain and everything went smoothly

In freshwater fish, bacterial species such as Cetobacterium somerae have been reported in the gut, where they produce significant amounts of vitamin B12 and inhibit the proliferation of pathogenic bacteria (Lyons et al., 2017)