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It doesn't necessarily imply that stores of B12 cannot be, or are not utilized in PA

When liver cells are damaged by alcohol, viral hepatitis, fatty liver disease or cirrhosis, stored B12 leaks into the bloodstream and the liver clears haptocorrin less efficiently

Originally characterized at the University of Florida by the Stephen ORahilly and Robert Kraft groups, the compound has been studied in preclinical research for body composition, adipose tissue lipolysis, glucose homeostasis, skeletal muscle aging, and metabolic disease endpoints

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Alcohol can interfere with B12 absorption, making it harder to maintain adequate levels

It is used in the treatment of malaria