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[4] Choline Choline is an essential nutrient that helps to support the liver in its processing and excretion of chemical waste products

For fatty liver disease itself , NICE guideline NG49 recommends risk stratification in primary care using the FIB-4 score initially, followed by the Enhanced Liver Fibrosis (ELF) test if indicated, to identify patients at higher risk of advanced fibrosis who may require specialist referral

This means that unexplained, persistent high B12, especially when it is not caused by supplements, should not be ignored

These studies show that people with higher levels of vitamin D have a lower risk of disease, although they do not definitively prove that lack of vitamin D causes disease or that vitamin D supplements would lower risk