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Common symptoms include: Nausea Reduced appetite Mild stomach discomfort Fatigue These effects are usually temporary and often ease within a few days

The intestinal resident microorganisms, including Corynebacterium spp., Streptococcus spp., and Enterococcus spp., can also trigger IBS symptoms (Walther et al., 2003)

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These improvements might also help with sexual function, even if the medicine does not directly affect sex drive

Cyanocobalamin must first be converted to hydroxocobalamin, then to either methylcobalamin or adenosylcobalamin depending on tissue needs