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I would start out with a B12 supplement that contains either methylcobalamin, hydroxycobalamin, or adenosylcobalamin and experiment with 1-4 capsules per day

Selenium concentrations in serum of individuals with liver diseases (cirrhosis or hepatitis): relationship with some nutritional and biochemical markers

This perhaps includes host defense peptides like LL-37 too

Corrigan NM, Yarnykh VL, Huber E, Zhao TC, Kuhl PK

Detox & Balance Panel: Focused on metabolic balance, nutrient status, and overall hormonal wellness

Baseline serum B12, methylmalonic acid, and homocysteine testing are essential to establish whether B12 supplementation is medically indicated and to monitor response