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The review found no significant difference in outcomes, and in one case, oral B12 even outperformed injections in raising blood levels A more recent 2020 randomised controlled trial from Spain further supports this

Furthermore, it reduces BUN, CK, ammonia, and lactate [100]

A vitamin B injection combined with a prescription medication, however, will result in a noticeable drop in weight

Less than 5% of patients transplanted for ALD at our center had graft dysfunction due to relapse after LT, suggesting overall good graft outcomes even in those that unfortunately relapsed