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Is it normal for symptoms to initially worsen before improving with B12 therapy

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Still, it may progress into more severe forms of liver disease, such as nonalcoholic steatohepatitis (NASH) or cirrhosis, if not addressed, both of which can lead to permanent damage and reduced liver function

4), demonstrating long-term responsiveness

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The net effects were increases in renal blood flow and glomerular filtration rate [65]