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when present, symptoms typically reflect underlying conditions such as liver disease, haematological disorders, or renal impairment rather than the elevated vitamin itself

It helps prevent fatty liver disease and supports the metabolism of cholesterol

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A serum B12 test (and ideally methylmalonic acid or homocysteine if your B12 is borderline) gives you a real answer rather than a guess

We include a second line for all hospitals, excluding permanently held harmless hospitals and CMHCs

This keeps the focus on execution rather than labels