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Requirements of vitamin B12 in excess of normal (due to pregnancy, thyrotoxicosis, hemolytic anemia, hemorrhage, malignancy, hepatic and renal disease) can usually be met with oral supplementation
The only way to know for sure is to ask your doctor for a blood test
No pattern of delayed side effects has emerged in community use spanning years
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Mechanistic research continues to reveal new aspects of NNMT biology that may expand the applications of 5-amino-1MQ in experimental settings