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Key Takeaways Pernicious anemia is a vitamin B12 absorption disorder, not a reflection of poor diet or lack of effort

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Studied in models involving NNMT activity, NAD+-related biology, and metabolic pathway regulation

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If your vial has been out of the fridge for an extended period and you are unsure whether it exceeds the 21-day cumulative limit, err on the side of caution

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