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More specialized markers such as methylmalonic acid or homocysteine, which can clarify borderline cases, also take weeks to shift

Complete Blood Count (CBC) : Can show anemia or large red blood cells (macrocytosis) characteristic of B12 deficiency [*]

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Some adults become completely unable to absorb B12 from pills

Although clinical trials specifically for MASH have not yet been conducted, preclinical studies confirm significant regulatory effects on hepatic metabolism, providing a novel strategy for targeted MASH therapy and supporting future translational research
