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Herbicides and OA group toxins - okadaic acid and dinophysis toxin-1 have been shown to affect the juvenile/larval forms of freshwater African catfish and medaka, respectively, by altering antioxidant systems (Figueroa et al., 2023)

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Consider trying high-dose oral B12 when absorption is intact and reassess periodically with your clinician

Use both morning and night for best results

The mechanism involves gabapentin's effect on calcium channels in the gut nervous system, which can slow intestinal motility and reduce fluid secretion into the bowel