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These include specific kidney conditions such as distal renal tubular acidosis and medullary sponge kidney, gout, hyperparathyroidism, inflammatory bowel disease (particularly Crohn's disease), and recurrent urinary tract infections

They can change the migrating motor complex that controls gut movement during fasting [12] , which might lead to more complex movement problems

Eating big meals might cause discomfort because food stays in the stomach longer

If you experience severe reactions, stop the cleanse and consult with a healthcare provider

If your levels are already solid, more B12 won't replace better sleep, smarter training, or dialing in the other variables