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Objective This study aimed at profiling the dysregulated metabolic pathways in asymptomatic hyperuricemia (AHU) and gout and elucidating the associations between AHU, gout and metabolomics, which may aid in performing gout screening

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PLoS ONE 12 , e0170517

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It is found in a wide variety of foods, including vegetables (spinach, asparagus, and Brussels sprouts are highest), nuts, beans, peas, fruits, and fruit juices, and meat (liver is highest), eggs, seafood, yeast, and dairy products

Liver issues can also affect how B12 is used and stored