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Summary: Fatty liver disease does not directly cause vitamin B12 deficiency, but associated conditions and medications commonly increase deficiency risk

availability varies across the UK Enhanced Liver Fibrosis (ELF) test assessing fibrosis risk According to NICE guidelines (NG49), patients with suspected NAFLD should undergo comprehensive metabolic assessment including fasting glucose, lipid profile, and calculation of fibrosis risk scores

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On May 5, 2026, one of those nominators clarified its position

TNF- is an essential mediator in the inflammatory response

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