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Here is what makes this situation uniquely complicated
These injections primarily contain methylcobalamin, the most bioavailable type of Vitamin B12
This disease spectrum ranges from isolated lipid deposition within hepatocytes through metabolic dysfunction-associated steatohepatitis (MASH), potentially advancing toward cirrhotic transformation, hepatic functional deterioration, and malignant hepatocellular transformation
The good news is that for most patients, these side effects peak within the first week or two after a dose increase and then begin to diminish as the body acclimates
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