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It is a small molecule that works by inhibiting the activity of an enzyme called nicotinamide N-methyltransferase (NNMT)

[53] This protective mechanism is part of a natural inflammatory response that occurs in our gut

2,9,10 At the start of oral vitamin B12 replacement therapy, close monthly monitoring of laboratory results and symptoms is recommended, thereafter annual monitoring should suffice

If you travel frequently or prefer managing your own treatment, this matters

The Joe Rogan effect in full swing Definitely seeing this become more common

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