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B12 testing is recommended in patients with fatty liver disease who have: Symptoms suggestive of deficiency (anaemia, neuropathy, cognitive changes) Long-term metformin use (MHRA 2022 guidance advises monitoring) Long-term proton pump inhibitor use Vegetarian or vegan diets Conditions affecting absorption (pernicious anaemia, coeliac disease, gastric surgery) Advanced liver disease (NASH, fibrosis, or cirrhosis) Monitoring frequency should be individualised based on disease severity and risk factors
Anyone interested in using these medications should ask about the manufacturer and compare their choices with FDA-cleared products, which usually have more data on safety and use
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Seek medical advice if symptoms do not improve, become worse, return, or if new symptoms develop
As Thyroid disorders can impact your mental health, it might be worth exploring if thyroid disease is the cause of emotional and mental health issues
Cyanocobalamin (Vitamin B12): Vitamin B12 is essential for various bodily functions, including energy production and the metabolism of fats and proteins
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