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For patients with type 2 diabetes and biopsy-proven NASH with fibrosis, pioglitazone may be considered under specialist supervision, as its use for liver disease is outside its licensed indication (type 2 diabetes) and requires careful assessment of potential risks and contraindications

This ensures that the body receives the necessary B12 to support its vital functions, improve energy, and alleviate deficiency symptoms

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Coadministration of warfarin should be monitored carefully