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Some autoimmune diseases can affect B12 metabolism or produce antibodies that interfere with B12 assays, potentially leading to falsely elevated readings

The authors interpreted the data as supporting NNMT inhibition as a candidate exercise-mimetic

The short answer is yes

I think that my body type was just too sensitive overall for the b12 megadose and so I'm having this ongoing reaction

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Research in animal models indicates that elevated NNMT expression is associated with reduced levels of the glucose transporter GLUT4