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Those with a diagnosed deficiency - usually through a symptom checker alongside a simple blood test - will be prescribed and offered regular vitamin B12 intramuscular injections through their GP practice, district nurse, or NHS services

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The liver contains approximately 5090% of the body's B12 stores, so hepatic injury can cause substantial elevation

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"Proton Pump Inhibitors, H2-Receptor Antagonists, Metformin, and Vitamin B-12 Deficiency: Clinical Implications"

5-Amino-1MQ is a small-molecule inhibitor of NNMT (nicotinamide N-methyltransferase), an enzyme overexpressed in obese fat tissue that depletes NAD+ precursors and SAM