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Functional cobalamin deficiency in the general United States population (2024) What was found: researchers analyzing more than 22,000 adults from the National Health and Nutrition Examination Survey defined functional cobalamin deficiency as a raised methylmalonic acid despite a serum B12 above 400 pg/mL
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(19) Gastric surgeries: If a portion of your stomach has been removed, the body cant produce enough IF, and the amount of space for B12 to be absorbed is also reduced
By blocking NNMT, it helps increase NAD+ levels, which in turn supports metabolic health and fat oxidation
The long answer: Refrigeration is critical because it dramatically slows down two separate but equally problematic processes
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