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In fatty liver disease specifically, elevated B12 would more likely occur in advanced stages with significant liver damage rather than in simple steatosis

Some of these adverse effects reported were Toxic Epidermal Necrolysis (a rare but life-threatening skin condition characterized by painful blisters and large areas of skin peeling), air embolism, thyroid dysfunction, and liver, kidney, and neurologic toxicity (The dark side of skin lightening- PubMed) With the proliferation of med-spas in an unregulated fashion, there is a risk of inadequately trained or untrained people giving IV injections in a non-sterile way, which can lead to sepsis and transmission of infections like HIV and hepatitis

Helping to reduce oxidative stressinduced dullness

Faster return to running through effective treatment carries significant practical value for serious runners