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and (3) serum-targeted metabolomics panel measuring protein-bound uremic toxins (IS, pCS, TMAO) and branched-chain amino acids (BCAAs)
But there is a grey/intermediary zone that exists (148-500 pmol/L ish), where patients may be deficient on a cellular level (in energy cycle and methylation) and wildly symptomatic including overt bilateral neurological symptoms, cognitive symptoms, severe fatigue (usually in the absence of anaemia) etc

It is frequently prescribed to treat various autoimmune conditions by slowing down the bodys overactive immune system

Feb 1990;42(2):113-9
(3) L.S

Patients with IBS, SIBO, leaky gut, or dysbiosis frequently experience cognitive and mood symptoms that improve when gut health is addressed
