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I'm looking for better research on the process of mobilization of B12 from liver stores - in some textbooks it has been described as "not well understood" so it seems to me this is an open question

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Choline Helps metabolize fat Deficiency of Choline can lead to Cirrhosis and fatty degeneration of the liver and hardening of the arteries (arterioscelerosis) It is being used today for ailments such as: gallbladder trouble, diabetes, Muscular Dystrophy, Glaucoma, senility, and memory problems

People with heavy menstrual bleeding may also be at higher risk of low B12 and iron