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However, that energy effect is only true to the extent that they were B12 deficient in the first place

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NNMT is an enzyme that catalyzes the transfer of a methyl group from S-adenosylmethionine (SAM) to nicotinamide (NAM), producing 1-methylnicotinamide (MNA) and S-adenosylhomocysteine (SAH)

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While much attention is given to B12 deficiency, known for causing fatigue, neurological changes, and anaemia, less is said about elevated B12 levels, which can be just as important to recognise 2

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