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(3) Renal (kidney-related) causes Reduced kidney function may contribute to elevated B12 by reducing clearance

The observed data infers that increased lipid peroxidation and associated ROS generation, decline in antioxidant status might have culminated in collapse of membrane integrity that lead to liver damage in Cd intoxicated rats

He or she may recommend further testing, such as an ultrasound, a full liver function panel, or additional blood markers, to identify what is driving it and to rule out underlying conditions that dietary change alone will not address

Also dosing is uncertain

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