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Let me give you an ultra-brief summary: There is considerable variability between the different commercially available serum B12 assays

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Although NNMT may affect nicotinamide levels and NAD+ pathways, the real impact in the body is still unclear

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As a family medicine practice, we know that each patients health journey is unique

Where neurological symptoms are present, loading runs 1mg on alternate days until there is no further improvement, which is a presentation that belongs with a GP or specialist rather than a wellness clinic