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Okazaki S, Hoashi T, Saeki H, Kanda N (2021) A case of autoimmune hepatitis/primary biliary cholangitis overlap syndrome during treatment with brodalumab for generalized pustular psoriasis

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Natural: Synthetic cyanocobalamin requires conversion in the liver to become active, which means some people may not absorb it efficiently

Evidence level key: (1) Human observational: Cohort/cross-sectional studies with metabolomic/microbiome profiling

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