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These medications can make it harder for you to absorb vitamin B12

Consequently, NNMT activity can directly influence the primary pathway of NAD + production (i.e., the salvage pathway), culminating in diminished NAD + levels

however, approximately 30%-40% of patients are resistant to these drugs [8-11]

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Symptoms may include: At this point, caregivers should seek medical attention quickly because nerve damage may become harder to reverse over time