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That matters for anyone whose gut doesnt absorb B12 well, think pernicious anemia, celiac disease, or a history of gastric surgery

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Yes, most lab work is completed directly at our Gainesville clinic, allowing for faster results and a more streamlined experience

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By inhibiting this enzyme, NAD+ levels rise within cells, leading to enhanced energy metabolism , lipid breakdown , and mitochondrial activation

However, passive absorption may be well below 1% in many patients, 60 and high biliary B 12 excretion may add to a negative B 12 balance