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Invest 120 , 39013911 (2010)

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

Relieves Nausea & Vomiting Zofran * * Zofran, also called Ondansetron, works in the stomach by blocking the chemical signals for nausea & vomiting from reaching the brain

Intern Emerg Med 2023