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Vitamin B12 is not made by plants or animals, but by microbes that blanket the earth
clinical presentation is highly variable, including bland cholestasis, cholestatic hepatitis, secondary sclerosing cholangitis, and vanishing bile duct syndrome (VBDS) [64]
Long-term use of Glutathione has been associated with lower zinc levels in some individuals, so monitoring zinc levels may be advisable with extended use