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When you inhibit NNMT, your cells can make more NAD+, a molecule that powers your mitochondrial energy factories

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For patients who have difficulty absorbing B12 through the digestive tractsuch as those with pernicious anemia, gastrointestinal disorders (like Crohns disease or celiac disease), a history of gastric bypass surgery, or those with severe B12 deficiencyour providers often recommend intramuscular B12 injections

When symptoms are present, they are almost always caused by the underlying condition driving the elevation , not by the B12 itself

Many also notice stronger immune support as well as healthier hair, skin, and nails