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The histopathological hallmarks of ALD include steatosis, hepatocyte ballooning, and neutrophil infiltration (Stickel et al., 2017), mirrored biochemically by elevated serum transaminases, dyslipidemia, diminished antioxidant enzyme activities, and increased pro-inflammatory cytokines (Li et al., 2025)

Some signs that you may have a B12 deficiency include symptoms like fatigue, cognitive issues like brain fog, low energy, feelings of weakness, and tingling or numbness in the limbs

"Recommendations for Use of Menadione Sodium Bisulfite Complex (MSBC) in Animal Feed" (PDF)

However, it significantly limits your reaction to getting it (e.g., mild symptoms or asymptomatic)