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In some countries hydroxocobalamin has completely replaced cyanocobalamin as first choice for vitamin B 12 therapy because it is retained in the body longer and can be administered at intervals of up to three months

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In laboratory studies, inhibiting NNMT has been investigated for effects on cellular NAD+ levels and adipocyte (fat-cell) metabolism

Therefore, if you are at high risk of a B12 deficiency, consult with your healthcare provider, who can run a blood test to check your B12 levels