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However, it should be noted that supplementation of betaine in individuals with CBS deficiency, without sufficient dietary methionine restriction, leads to methionine excess with severe clinical consequences (Schwahn et al, 2019)

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Other evidence-based interventions include: Optimising management of associated conditions such as diabetes, hypertension, and dyslipidaemia Coffee consumption, which observational studies associate with reduced liver disease progression Avoiding hepatotoxic medications when possible Regular monitoring through your GP is essential

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