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For example, preclinical data suggest that particular gut microbiota patterns can affect CNS areas that govern exercise behaviour 177

Q: Is this only a surgery issue

Good patient-centred decision making around the use of dietary supplements requires multidisciplinary care, involving oncologists, integrative medicine providers, clinical pharmacists, dietitians and nursing to monitor and mitigate risk as well as to fully document all supplement uses and be aware how they may interact with conventional therapy (239)

Consult your healthcare provider before use, as the need for Vitamin B supplementation may vary

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