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Description
This is because not all of the cyanocobalamin can be properly converted to the active form, and the leftover must be flushed out of the body
So why is it that up to 40% of patients can have a subclinical vitamin B12 deficiency
When NNMT is overactive, it consumes excess NAD+, leaving less available for these critical processes
In cases of unexplained macrocytic anemia associated with high homocysteine levels and normal B 12 testing results, folate testing may be arranged if supported by laboratory specialist consultation
