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Understanding the relationship between these two conditions is important for patients with fatty liver disease, as vitamin B12 deficiency can lead to serious complications including anaemia, neurological damage, and cognitive impairment

This includes physician offices, outpatient clinics, and hospital outpatient departments

In states of obesity and aging, NNMT is often overexpressed, leading to the excessive methylation and excretion of nicotinamide

We also see many individuals who follow strict vegetarian or vegan diets, which can increase the risk of B12 deficiency due to limited intake of animal-derived foods

Carol has seen many Doctors and specialist over the years and all they ever did was increase the drugs she had to take