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All procedures were approved by the Institutional Animal Care and Use Committee (IACUC) of the Deanship of Graduate Studies and Scientific Research at Qassim University under number (23-67-05)

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Cyanocobalamin is a synthesized form of the vitamin and is the most widely used form of cobalamin in clinical practice because of its relative availability and stability

3.1.2 Anti-inflammatory and immunomodulatory effects Chronic hepatic inflammation, driven by activated Kupffer cells, infiltrating macrophages, and pro-inflammatory cytokines like tumor necrosis factor-alpha (TNF- ) and interleukin-6 (IL-6), is a crucial factor in MASLD progression to steatohepatitis and fibrosis

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