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methionine, one of the key ingredients, may aggravate metabolic acidosis and a compromised liver may be unable to properly metabolize the compounds

Decreasing overall body fat can lead to improved metabolic health, including better blood pressure, cholesterol levels, and blood sugar control

The mechanisms are different and do not directly conflict, but absence of conflict is not the same as evidence of benefit

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Insufficient intrinsic factor production, common in older adults due to age-related absorption decline, can also lead to deficiency