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Apart from resmetirom, recently approved by the FDA for use in patients with MASH with moderate to advanced liver fibrosis, there are no other therapeutic options for this disease 92

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Lipo B12 injections contain lipotropes along with vitamin B12

Weight gain has not been reported as a side effect

10.1016/j.bbrc.2006.08.155

However, pathological modifications oxidation, glycation, citrullination, carbonylation, and enzymatic carboxyethylation of cysteine (linked to ankylosing spondylitis) can render self-proteins immunogenic, driving autoimmune disease by presenting chemically altered peptides to the immune system as foreign antigens.