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When a vitamin deficiency is properly identified, supplements may be taken to balance the bodys nutrients and reduce bothersome symptoms
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[10] Long-term use of proton pump inhibitors (PPIs) and H2-receptor antagonists reduces gastric acid, potentially impairing the release of B12 from dietary proteins

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NNMT is overexpressed in white adipose tissue in obese individuals, where it consumes S-adenosylmethionine (SAM) the body's primary methyl donor to methylate nicotinamide, effectively draining the methyl pool and reducing NAD+ precursor availability
