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Dietary factors also play important roles
Fagelman is a kind and caring doctor
B12 supplementation is also indicated to prevent the development of symptoms
Patients often start with an intensive "loading phase," which can mean daily or every-other-day injections for a week, then weekly shots for a month
Although vitamin B12 is water-soluble and excess amounts are typically excreted in the urine, the body still stores significant quantities (primarily in the liver) with its levels continuously regulated
Significantly raises levels of NAD+, a molecule cells need for energy, by blocking an enzyme called NNMT
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