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Therefore, patients with strong clinical symptoms of B12 deficiency and levels in the low normal range may well be physiologically deficient but declared normal

I couldnt get it on Amazon because it had been removed because of an FDA action since it was a drug before it was a supplement

In that sense, it is one of the strongest confirmatory tests for B12 deficiency

This inhibits NNMT-catalyzed methylation of NAM and reduces the production of MNAM