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A deficiency can lead to symptoms like lethargy and weakness, making it harder to tackle daily tasks

This elevation in NAD+ levels activates critical metabolic pathways including SIRT1 (sirtuin 1), a longevity-associated protein that regulates insulin sensitivity, mitochondrial function, and cellular stress resistance

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Pernicious Anemia : This is a specific type of anemia associated with vitamin B12 deficiency, characterized by a reduction in the number of healthy red blood cells

On the other hand, chronic kidney disease causes fast excretion of cobalamin through urine, resulting in low levels