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Vitamin B12 injections are the most common way to prevent or treat a deficiency.
Elevated bilirubin with otherwise normal liver enzymes is a red flag for UGT1A1 dysfunction (Gilbert syndrome)
For many exercise is arduous and unpleasant, and it has to be stacked on top of other demands, like working a job (or jobs), raising a family, and managing the relentless addictions and distractions of late capitalism
Rarely, people feel mild fatigue as detoxification pathways activate
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