Interesting. I don’t tolerate the supplements they recommended nor do I tolerate low carb, keto, or coconut oil. Do you have pemt genes too? I commented below. I think low choline and bile sludge is part of it for me. My b12 is low at 428 but I don’t tolerate taking b vitamins so eating a can of sardines every other day. I only tolerate lean chicken and fish and I feel toxic eating low carb and keto. I feel worse if I don’t eat some pinto beans with meals and I can’t do high fat either. Seeing how it goes with sunflower lecithin though for choline and bile flow. Dirty genes pointed out the PEMT genes issue for me but his ideas doesn’t work for me either. But sunflower lecithin, beans, and leaner proteins and sardines for extra b12 seems to be helping. I have comt genes but addressing the at doesn’t help. I am following aspects for the bean protocol and trying out the sunflower lecithin.