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Protocols are not one-size-fits-all

Excess B12 is excreted through urine as a water-soluble vitamin, reducing the risk of toxicity

Injections deliver B12 directly into the bloodstream, bypassing digestion for faster absorption and noticeable resultsoften within hours or days

Materials and methods Study participants Men and women aged between 18 and 80 years diagnosed with NAFLD by ultrasound who had an increased serum level of alanine transaminase (ALT) were recruited from the Gastroenterology Clinic and Radiology Center of Shahid Beheshti Hospital, Kashan University of Medical Sciences