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The trials also evaluated liver stiffness using vibration-controlled transient elastography (VCTE) and enhanced liver fibrosis (ELF), showing a decline across all groups, but was not deemed statistically significant
doi: 10.1038/288715a0
Supplement boxes containing 42 sachets (corresponding to 6 weeks) were distributed at T1 and T3
Conclusion: High-dose oral B12 supplements are an equivalent alternative to injections in many cases
Consider implementing these changes gradually: Reduce intake of high-fat foods, which are digested more slowly and may exacerbate nausea and altered bowel patterns Limit caffeine and alcohol, both of which can stimulate bowel activity Avoid artificial sweeteners (particularly sorbitol and mannitol), which have laxative properties [29] Increase soluble fibre intake through oats, bananas, and cooked vegetables to help regulate stool consistency Eat smaller, more frequent meals rather than large portions Stay well-hydrated, particularly if experiencing diarrhoea, to prevent dehydration For persistent diarrhoea, oral rehydration solutions (available from pharmacies) can help maintain electrolyte balance
