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Afshin, A
The specific thresholds that should prompt dose reduction or discontinuation include: ALT or AST elevation exceeding 3 times the patient's baseline value, new or worsening coagulopathy (INR increase of 0.5 or more from baseline), albumin decline below 2.5 g/dL, or new clinical signs of hepatic decompensation such as worsening ascites, encephalopathy, or jaundice [5]
Having ample amounts can mean the difference between struggling with trapped fat and toxins and easily flushing them away
Whilst true toxicity from too much vitamin B12 is exceptionally rare due to the body's natural excretion mechanisms, elevated B12 levels can occur and may signal underlying health conditions
