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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

2021 Aug 5;385(6):503-515

The Case for Microdosing: You Dont Need a Full Dose to Feel Better A lot of people assume GLP1 meds only work at high doses

It also has many other roles, including: Detoxifying hormones, mercury, and chemicals in the liver Regulating the immune system Regenerating vitamins C and E

Every ingredient is in a bioavailable form to improve absorption and reduce side effects

Signs of dehydration necessitate urgent evaluation