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Many patients feel a boost in energy and mental clarity within 2472 hours of their injection

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doi: 10.1016/j.celrep.2019.03.054 68 VenkateshMMukherjeeSWangHLiHSunKBenechetAPet al

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

The technique is a proprietary algorithm based on the ultrasonic attenuation coefficient of the shear wave of VCTE, an estimate of the total ultrasonic attenuation at 3.5 MHz
