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Less than 5% of patients transplanted for ALD at our center had graft dysfunction due to relapse after LT, suggesting overall good graft outcomes even in those that unfortunately relapsed

Furthermore, it reduces BUN, CK, ammonia, and lactate [100]

The review found no significant difference in outcomes, and in one case, oral B12 even outperformed injections in raising blood levels A more recent 2020 randomised controlled trial from Spain further supports this