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This includes the following patient groups: - Those who follow a strictly vegan diet - Those over the age of 50 - Those who take certain medications that are known to inhibit the absorption of B12 - Those who have an autoimmune disorder - Those who have gastrointestinal disorders - Those who have issues with stomach ulcers, atrophic gastritis, and other similar health problems SYMPTOMS OF A B12 DEFICIENCY Whether you fall into any of the categories above or not, there are certain signs to be aware of that could mean that you are suffering from a vitamin B12 deficiency

Whether FDA-approved or off-label, these therapies can be a powerful tool for anyone suffering from obesity or weight-related comorbidities

Individuals on diabetes medications do not need dose changes, thyroid medication remains stable, and there are no concerns about growth hormones effects on other hormones or metabolic pathways

Additional costs include bacteriostatic water, insulin syringes, alcohol swabs, and periodic bloodwork

Research Overview Nicotinamide N-methyltransferase (NNMT) catalyzes the transfer of a methyl group from S-adenosyl-L-methionine (SAM) to nicotinamide, producing 1-methylnicotinamide and S-adenosyl-L-homocysteine [1]