High NNMT expression is closely associated with glucose dysregulation: excessive NNMT activation disrupts nicotinamide metabolism, lowers NAD+ levels, impairs insulin signaling, reduces cellular glucose uptake and utilization, and promotes hyperglycemia and insulin resistance
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National Institutes of Health Office of Dietary Supplements
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Because vitamin B12 is water-soluble, your body simply excretes any excess it doesnt need, which makes it very low-risk
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