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This randomized controlled trial suggests that vitamin B12 supplementation may improve homocysteine levels and metabolic markers in patients with liver disease, with modest effects on liver health
Results vary per individual depending on starting B12 levels and overall health
Intramuscular (IM) injections are common for routine repletion of B levels, whereas intravenous (IV) administration might be used in emergency situations or when large doses are required quickly
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