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Similarly, the association of genetic liability to NAFLD with serum vitamin B12 concentrations was consistent in our sensitivity analyses

[76] Ruminants, such as cows and sheep, are foregut fermenters, meaning that plant food undergoes microbial fermentation in the rumen before entering the true stomach (abomasum), thus allowing them to absorb the vitamin B 12 produced by the bacteria

This keeps draw volumes manageable even at 15 mg doses (0.75 mL = 75 units)

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Marlene Williams is the assistant professor of medicine and CICU director at Johns Hopkins Bayview Medical Center