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When will I feel the effects of a B12 shot

Patients with gastrointestinal disorders, such as Crohns disease, celiac disease, or those who have undergone gastrointestinal surgeries like bariatric surgery, may also find B12 injections advantageous

References 1 Nature Medicine (2014)Nicotinamide N-methyltransferase knockdown protects against diet-induced obesity (preclinical)

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Therefore, even if MMA is normal, your child may still need Methyl B12, as it serves a different function

The interest traces to a 2014 Nature paper showing that knocking down NNMT in fat and liver protected mice against diet-induced obesity, glucose intolerance, and fatty liver, partly by shifting adipose NAD+ and SAM levels [4]