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Providers might choose methylcobalamin first when neurologic or cognitive symptoms are presenteven when standard lab values dont appear drastically low

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Side effects are uncommon and usually mild: Soreness or redness at the injection site Mild digestive upset Allergic reactions, which are rare Because a shot is an injection, it should always be given by a trained provider

Theyre easy, cheap, and simple to take at home, and for many people they cover their needs perfectly well without ever needing an injection

These results support development of small molecule NNMT inhibitors as therapeutics to reverse diet-induced obesity and validate NNMT as a viable target to treat obesity and related metabolic conditions