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It is a small molecule that inhibits an enzyme called NNMT

Sep 7 2018;1(5):e182327

How do you monitor the effectiveness of vitamin B12 therapy

PrabhuDas MR, Baldwin CL, Bollyky PL, Bowdish DME, Drickamer K, Febbraio M, Herz J, Kobzik L, Krieger M, Loike J, McVicker B, Means TK, Moestrup SK, Post SR, Sawamura T, Silverstein S, Speth RC, Telfer JC, Thiele GM, Wang XY, Wright SD, El Khoury J (2017) A consensus definitive classification of scavenger receptors and their roles in health and disease