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When a cell over-expresses NNMT, it does two costly things at once: it burns through methyl-donor capacity, and it diverts nicotinamide away from NAD+ regeneration into an inert metabolite (1-methylnicotinamide) that gets excreted

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Summary Continuing Vitamin B12 therapy after a gastrectomy is vital for preventing anemia and maintaining neurological health

Chronic intestinal infections: Bacterial or parasitic infections that persist over a long period damage the gut lining and impair absorption of multiple nutrients, with B12 among the most commonly affected

This checks whether your bone marrow is healthy and making enough red blood cells

If you use one, periodically test the waters pH to ensure it remains safe for daily use