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Whilst fatty liver disease itself may not directly cause B12 deficiency, the constellation of metabolic conditions, medications, and lifestyle factors commonly associated with fatty liver can collectively increase vulnerability to deficiency

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(Eric Gay/AP Photo) AP People are rescued from a hotel by boat after Hurricane Harvey caused heavy flooding in Houston, Texas on August 27, 2017

When we don't get enough vitamin B12, it can: Reduce ATP production, potentially contributing to mitochondrial dysfunction and insulin resistance Cause megaloblastic anemia, characterized by abnormally large, hemoglobin-poor red blood cells that die prematurely