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Choline deficiency directly correlates with nonalcoholic fatty liver disease development

That said, its also not uncommon for those who eat meat not to absorb it very well

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Foods high in B12 include fish, meat, poultry, eggs, dairy produce, and foods that are fortified with B12 (like some breakfast cereals.) If you follow a restrictive diet or have a condition that impacts absorption, you could be at risk for a B12 deficiency