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Someone carrying extra weight who still runs half marathons, with normal blood sugar, normal labs, and good energy, has what the commission calls preclinical obesity: a state worth watching, with elevated future risk, but not necessarily one that demands aggressive treatment today

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B12 plays a role in red blood cell formation, neurological function, and DNA synthesis

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Sanyal AJ, Van Natta ML, Clark J et al (2021) Prospective study of outcomes in adults with nonalcoholic fatty liver disease