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In some cases, additional tests such as blood tests or biopsies may be required to rule out other conditions
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Histological analysis confirmed reduced hepatic steatosis and increased expression of genes involved in fatty acid oxidation (CPT1A, ACOX1)

A study conducted on pregnant mice, the species with a very similar biological and behavioral makeup to humans, also found that B12 deficiency led to high cholesterol levels and a significant increase in body fat percentage in pregnant mice

10.1038/s41586-019-1738-6 32 MaddocksO