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Long-term, high-dose aspirin use has been associated with decreased VitC levels, which can lead to gastric mucosal thinning, gastritis, peptic ulcer disease, nausea, anorexia, and malnutrition (199, 201)

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Abstract Nonalcoholic fatty liver disease (NAFLD) has a global prevalence of 20%-33%, and has become the main cause of chronic liver disease

Pathological causes of elevated B12 warrant careful consideration: Haematological disorders : Myeloproliferative neoplasms (polycythaemia vera, chronic myeloid leukaemia), acute leukaemia, and lymphoproliferative disorders can increase B12-binding proteins (transcobalamin and haptocorrin), elevating total serum B12 [3] Liver disease : Hepatocellular damage releases stored B12 into circulation

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