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Dietary intakes of vitamin B12 were also found increase in patients with NAFLD compared with controls in 101 Canadians (42) and 120 adult Jordanians (43), which were consistent with our main result that elevated vitamin B12 was causally associated with the increased risk of NAFLD

Neurologic complications are not always associated with megaloblastic anemia and are the only clinical symptom of vitamin B 12 deficiency in about 25% of cases (21)

By reducing intake or steering clear altogether from such food items, patients may see a noticeable improvement in their digestion with symptoms being reduced effectively

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