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Some people are prescribed B12 this way

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An additional insult or pathogenic factor, often referred to in the literature as the second hit, is required to trigger the progression from simple steatosis to steatohepatitis (MASH), characterized by hepatocellular injury, inflammation, and varying degrees of fibrosis [32]

2 Experimental 2.1 Materials Pooled rat liver microsomes containing 20 mg protein/mL were obtained from BD Biosciences (Woburn, MA, USA)
