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Product labeling is inconsistent, so the two are closely related but not guaranteed to be identical
The learning curve, while modest, does require initial investment in understanding proper protocols
The spectrum of MASLD ranges from simple steatosiswhere fat accumulation causes minimal inflammationto metabolic dysfunction-associated steatohepatitis (MASH, formerly NASH), characterized by inflammation and liver cell damage that can progress to cirrhosis
Patients taking certain medications (e.g., chloramphenicol may reduce the effectiveness of B12 therapy) or with risk factors for B12 deficiency (metformin use, proton pump inhibitors, nitrous oxide exposure, vegan diet) should discuss these with their healthcare provider
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