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This clinical observation is possibly because the methylcobalamin delivered by this method is better absorbed into the bloodstream, or it is more bio-available, or the effect is more noticeable because of the constantly higher blood level
it works upstream, on an enzyme called nicotinamide N-methyltransferase (NNMT) that fat cells over-express when they become metabolically sluggish
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Its important to monitor progress closely
The concept of long-term stores is a simplification that overlooks the rapid metabolic turnover and the fact that a symptomatic patient may experience a swift decline in their well-being as the effects of the last injection wane
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