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Clinically significant vitamin B 12 deficiency and megaloblastic anemia are unlikely, unless these drug therapies are prolonged for two or more years, or if in addition, the person's dietary intake is below recommended levels
It is basically a liquid diet of pre-digested nutrients that are absorbed in the upper part of the small intestine
Geneva, Switzerland: WHO Press, 2004
What Patients Actually Report Anecdotally (and I want to underscore that word), compounding pharmacy practice sees: Reduced gut symptoms within 3 to 6 weeks for a meaningful subset of patients Improved tolerance to previously reactive foods in some cases, though this is highly variable and unpredictable Stable symptom maintenance in patients with already-controlled IBD Generally good tolerability with few reported adverse effects These are observational reports, not controlled-trial outcomes