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Importance of Annual B12 Monitoring Because of these challenges, its important for thalassemia patients to have annual B12 monitoring

Additionally, because NAD+ supports metabolic pathways, some practitioners recommend taking a methyl donor supplement (such as TMG, trimethylglycine) concurrently, to aid in processing any excess nicotinamide produced

If you eat very little meat, fish, eggs, or dairy or none at all dietary B12 is likely insufficient

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