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Not only did both groups show significant improvements in bilirubin levels (a substance made in the liver during the normal process of breaking down red blood cells that a healthy liver regularly eliminates) months after the trial ended, they also saw a reduction of malondialdehyde, a marker of cell damage in the liver

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In fact, some of the most common symptoms of deficiency include hyperpigmentation of the skin and nails, hair changes, vitiligo, and angular stomatitis, which is a condition that causes cracks and inflammation in the corners of the mouth

The body absorbs only as much B12 as it needs, and any excess is eliminated naturally