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This is a serious, progressive form of fatty liver disease that causes chronic inflammation and liver damage

Observed effects in experimental models include: Transient fatigue or lethargy following administration in animal models

NHS loading is 1mg hydroxocobalamin every two days for two weeks, then maintenance every two to three months for life when the cause is non-dietary

Yet the very treatment that is supposed to protect the liver can also end up straining it insteadcausing real harm

Using multiple independent labs is a legitimate strength, since it reduces reliance on any single testing relationship

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