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B12 testing is recommended in patients with fatty liver disease who have: Symptoms suggestive of deficiency (anaemia, neuropathy, cognitive changes) Long-term metformin use (MHRA 2022 guidance advises monitoring) Long-term proton pump inhibitor use Vegetarian or vegan diets Conditions affecting absorption (pernicious anaemia, coeliac disease, gastric surgery) Advanced liver disease (NASH, fibrosis, or cirrhosis) Monitoring frequency should be individualised based on disease severity and risk factors

Additionally, most studies are open-label and unblinded, raising concerns about bias and limited generalizability

Fortinos Skinny Shots include MIC lipotropics (methionine, inositol, choline) other B vitamins, and L-Carnitine amino acid to accelerate fat metabolism and support lean muscle

It is also involved in the activation of the synthesis of matrix compounds in vivo, which are critical for the formation of a resistant new tissue [1213]

Prioritize adequate protein intake (1.62.2 g/kg body weight) to support tissue repair