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NNMT depletes cells of NAD+, a crucial coenzyme required for mitochondrial function and energy production

Several forms of vitamin B12 exist in foods: meat and fish contain mainly adenosyl-cobalamin (AdoCbl) and hydroxocobalamin (OHCbl)

Many minor reactions go unreported, and dramatic cases are more likely to be shared

If you are a strict vegetarian or vegan and do not eat any meats, dairy foods, or eggs, you will not get enough vitamin B12 from your diet alone

Limits of the workup A B12 value alone neither confirms nor excludes malignancy, and clinical judgment decides whether to observe, repeat, evaluate further, or refer

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