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Elevated B12 levels often indicate underlying health conditions such as liver disease, kidney dysfunction, or haematological disorders rather than simple overconsumption
To complement the Jadad score, the Cochrane Risk of Bias Tool (RoB 2) (Sterne et al., 2019) was also used for RCTs to provide a domain-based qualitative evaluation, assessing risks related to selection, performance, detection, attrition, and reporting
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