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This is a different pathway entirely, addressing the efficiency with which cells produce and use energy rather than directly targeting fat stores
while the acute repletion might be IV/IM for a period, they may transition to high-dose oral vitamins thereafter
This chart may be useful as an overview: What Are The Symptoms of Vitamin B12 Deficiency
When people have a choline deficiency, they are at increased risk for fatty liver disease
The NIH Vitamin B12 Fact Sheet for Health Professionals notes that oral supplementation is appropriate for many patients who do not have intrinsic factor deficiency
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