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Importantly, serum B12 levels can be misleadingly normal or even elevated in chronic liver disease due to increased levels of binding proteins (such as haptocorrin) and reduced clearance, meaning that total B12 measurements may not accurately reflect tissue B12 status or functional deficiency

Thyroxine has important roles in digestion, brain, heart, muscle and bone health, making it one of the most important hormones we have

It neutralizes the bacterial toxins especially endotoxins by blocking the essential signal for lipopolysaccharides (LPS) formation

The formation of bacterial biofilms is a complex, multi-stage process

However, future research should be able to replicate and fill in the gaps to introduce NS safely in patients with DM