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That can happen with cholestasis, alcohol exposure, fatty liver, medication effects, or other forms of tissue stress

The type of B12 supplement might matter too

How can I reverse my autoimmune disease naturally

This usually settles within a week or two as the body finds its new balance

Keep in mind, that surgery for tennis/golfers elbow carries a risk of complications just like any other surgery and the indication for surgery should therefore only be made after careful consideration