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You may have a deficiency if you are vegan, if you have other health conditions which mean you are unable to absorb it properly such as pernicious anaemia, you take disruptive medications such as antacids or other lifestyle factors such as alcohol intake

Then a maintenance of one injection monthly may be advised

By preserving SAM, NNMT inhibition may restore normal epigenetic control of metabolic gene expression in fat cells

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Vitamin B12 (cobalamin) is essential for neurological function, DNA synthesis, and red blood cell formation

GP can find treatment info for those with and without neuro symptoms in their copy of BNF book Chapter 9 Section 1.2 Some UK areas have local B12 treatment guidelines which in some cases are very out of date