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When these processes are compromised, toxins and histamine accumulate, triggering inflammation in the gut lining and increasing sensitivity to foods

Renal function was assessed by the estimated glomerular filtration rate (eGFR), calculated using creatinine, age, sex and ethnicity through the Chronic Kidney Disease Epidemiology Collaboration equation (CKD-EPI)

Dr Emma Guymer, a rheumatologist at Monash Health, told Rheumatology Republic there had not been any large, randomised placebo-controlled trials looking at B12 supplementation in patients with fibromyalgia with or without B12 deficiency