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ACMSD inhibition corrects fibrosis, inflammation, and DNA damage in MASLD/MASH

No completed randomized controlled human trials exist for any indication as of 2026

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Despite containing cyanide, the amount is toxicologically insignificant

Although its less common, people with vitamin B12 deficiency caused by a prolonged poor diet may be advised to stop taking the tablets once their vitamin B12 levels have returned to normal and their diet has improved

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