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Description

H., Lichinitser, M., Serrano, S

When deficiency is suspected based on clinical features (fatigue, paraesthesia, cognitive changes) or risk factors (vegan diet, gastric surgery, certain medications), serum B12 measurement guides appropriate intervention

Patients are left with recurring, crippling symptoms, which could be avoided if treatment continued

Current evidence from human trials is insufficient, and NAC should not be considered a first-line treatment for NAFLD or NASH without appropriate medical supervision