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By blocking NNMT, it shifts intracellular NAD+ and S-adenosylmethionine (SAM) levels, two cofactors tied to energy metabolism, redox balance, and gene regulation in laboratory models

B12 also plays a vital role in producing healthy red blood cells that carry oxygen, preventing conditions like megaloblastic anaemia, and is involved in DNA synthesis

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Regulation of human immune and inflammatory responses by dietary fatty acids

Theres also a prescription B12 nasal spray

In fact, it is also involved in the metabolism of amino acids and nucleic acids like folic acid, and it assists in synthesizing DNA, RNA, and fatty acids