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By customizing treatment for each person, we can get the best results and help them stay healthy long-term

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Conditions affecting any stage of this absorption pathwayincluding pernicious anaemia (an autoimmune condition destroying intrinsic factor-producing cells), Crohn's disease, coeliac disease, or surgical removal of stomach or ileal tissuecan significantly impair B12 absorption despite its water-soluble properties

Potential for resistance or adaptation Whether the body adapts to NNMT inhibition over time is unknown

injections are preferred for severe deficiency, neurologic involvement, or unreliable absorption