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Those fats remain trapped in liver cells, impairing metabolic function and creating the inflammatory environment that promotes insulin resistance

If density declines significantly, interventions include calcium and vitamin D optimization, weight-bearing exercise, and sometimes pharmacologic therapy

People with autoimmune disease called atrophic gastritis might not absorb enough Vitamin B12 because they make too little hydrochloric acid and intrinsic factor in their stomach

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Other supplements such as B vitamins, calcium, vitamin D, omega-3, zinc, and selenium may also be helpful for some patients