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This highlights why patients with progressive fatty liver disease, particularly those advancing towards cirrhosis, require careful assessment of their B12 status and overall nutritional health when symptoms or risk factors are present

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doi:10.1136/bmj-2023-078852 Jensen RB, Viuff AC, Pedersen LH, et al

What is changing is the speed at which these strategies are being deployed and the sophistication of the regulatory and legal infrastructure supporting them