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For those with certain medical conditions—such as pernicious anemia or gastrointestinal disorders that impact nutrient absorption—B12 shots are often the most reliable way to maintain healthy levels and support immune function

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Common explanations include: Alcohol exposure , especially if intake has crept up during work travel, client dinners, or periods of poor recovery Medication effects , including prescription drugs that affect liver enzyme activity Supplement burden , particularly when someone is using multiple performance, fat-loss, or bodybuilding products without clear oversight Metabolic dysfunction , such as fatty liver or insulin resistance Bile duct or cholestatic problems , which become more concerning if ALP, bilirubin, itch, pale stools, dark urine, or abdominal pain are part of the picture That spread is why I do not read a raised GGT as a standalone verdict