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Pernicious anemia is a chronic condition characterized by the inability to absorb vitamin B12, leading to deficiency and related complications. Other issues like problems after stomach surgery or diseases like Crohns also might need Vitamin B12 injections

It inhibits NNMT (nicotinamide N-methyltransferase), an enzyme regulating metabolism, fat storage, and NAD+ consumption.[4][27][6] NNMT methylates nicotinamide, a NAD+ breakdown product, diverting it from recycling and reducing available NAD+

A high result on a blood test could signal another health issue for instance, liver or kidney disease

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Lately, Sarah has been experiencing persistent fatigue, weakness, and gastrointestinal issues, including episodes of diarrhea