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You have a lot of them when your immune system is working against your tissues

Current evidence does not establish a direct causal link between simple fatty liver (steatosis) and vitamin B12 deficiency

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[DOI] [PubMed] [Google Scholar] 29.World Health Organization

Oral B12 supplementation is more accessible and cost-effective but relies on gastric intrinsic factor for absorption, rendering it unsuitable for individuals with gastric disorders or malabsorption syndromes