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Endocr Connect 2017;6:856-65.ArticlePubMedPMC 30

By supporting the gut-muscle axis, TWK10 promotes efficient nutrient utilisation and helps maintain physiological functions associated with muscle health during weight management

Laboratory evaluation typically includes serum vitamin B12 levels, with values below 200 pg/mL generally indicating deficiency and levels between 200-300 pg/mL considered borderline, though laboratory reference ranges may vary

In particular, this test can be useful in a patient with recurrent GI bleed, with a negative colonoscopy and endoscopy in the past for similar bleeding episode

Both can independently cause gastrointestinal side effects, which may be additive when used together, particularly nausea or stomach discomfort