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Instead, raised levels may indicate: Liver disease (impaired B12 storage and release) Myeloproliferative disorders or certain leukaemias Renal impairment Recent B12 supplementation or injection Isolated high B12 is usually due to supplementation or binding-protein changes and should be assessed against clinical context and other tests

As interest in this enzyme grew, researchers began developing experimental compounds capable of interacting with NNMT in controlled laboratory environments

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Liu YN, Zhang HX, Huang GF, Zou R, Wei W

When to Consider Vitamin B12 Injections If You Have a Deficiency : People who have been diagnosed with a vitamin B12 deficiency, especially those with underlying health conditions that affect absorption, may benefit from the rapid absorption and higher bioavailability offered by injections