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In adulthood, the core GM is relatively stable, and the main factors influencing its composition are diet, exercise, stress, disease, and medications (88)

Isolation of crypts, culture of intestinal organoids and treatments For murine organoid culture: ileum and colon tissues of mice were removed, wash with cold PBS, opened longitudinally, cut into pieces and then incubated on ice in buffer (1xPBS, 8 mM EDTA, 0.5 mM DTT) for 2045 min

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chronic liver disease and hepatitis may present with elevated levels Renal impairment : Reduced clearance can contribute to accumulation, though this is rarely clinically significant Solid tumours : Certain malignancies, particularly hepatocellular carcinoma and metastatic disease, may elevate B12 levels [3] Evidence suggests that unexplained markedly elevated B12 levels without supplementation may sometimes be associated with underlying disease