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133 , jcs254094 (2020)

There are multiple causal pathways linking mental health disorders and cirrhosis

Why a normal or high total B12 can coexist with cellular deficiency Total B12 measures what is in the blood, not what has reached the cells, so a high or normal value does not rule out a functional shortfall

Additionally, patients may not receive adequate psychological support or adjunctive therapies, which are critical to managing withdrawal symptoms and preventing relapse