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10.1016/j.ajhg.2013.07.022 Summary Keywords cobalamin, hydroxocobalamin, cyanocobalamin, vitamin B12, metabolic Citation Elangovan R and Baruteau J (2022) Inherited and acquired vitamin B12 deficiencies: Which administration route to choose for supplementation

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Research has shown that blocking NNMT can reduce lipogenesis by 50 to 70 percent in adipocytes compared to untreated controls

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Tier 3 patients often experience significant improvements in energy levels and brain fog within 2-4 weeks, with substantial weight loss and metabolic improvements within 8-12 weeks, and continued progress over 6-12 months