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However, these patients had multiple risk factors for b12 deficiency beyond semaglutide use, including previous gastric surgery that permanently alters stomach anatomy and reduces intrinsic factor production
Follow your facility's standard operating procedures for opened-vial storage
NNMT (nicotinamide N-methyltransferase) is an enzyme that methylates nicotinamide, diverting it from NAD+ synthesis
Clements RS et al
Catching and correcting a confirmed deficiency early is generally simpler and less costly than treating the complications that a long-standing deficiency can cause
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