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While individuals with mild vitamin B 12 deficiency may not experience symptoms, blood homocysteine and/or MMA may be elevated (18)

Laboratory tests highlighted elevated transaminases, GT, and alkaline phosphatase (ALP), while liver histology showed portal and periportal fibrosis and hepatocytes with foci of cholestasis and normal BA levels [5, 42]

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Asian J Pharm Sci 20:101054 Li A, Yang X, Chen J (2021) A novel route to size-controlled MIL-53 (Fe) metalorganic frameworks for combined chemodynamic therapy and chemotherapy for cancer

[5] Methylcobalamin is produced by some bacteria.biomethylation of certain heavy metals

& Tiwari, A