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Vitamin B-12 is essential for energy production and cognitive function

Progression from simple steatosis to MASH involves cellular stress pathways triggered by lipotoxicity, endoplasmic reticulum stress, mitochondrial dysfunction, and oxidative injury

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ABSORBED DIRECTLY The key advantage of vitamin B12 injections is the fact that they are absorbed directly into the bloodstream

Some problems of the gut can also be a cause of vitamin B12 deficiency, but this is less uncommon, for example: surgery to remove parts of the bowel (the stomach or the end of the small intestine) Crohn's disease atrophic gastritis (where the lining of the stomach is thinned)