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Conversely, pernicious anemia resulting from vitamin B12 deficiency may cause infertility or poor pregnancy outcomes

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Generic Name: Thiamine Hydrochloride + Pyridoxine Hydrochloride + Cyanocobalamin

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The compound is best known as an inhibitor of nicotinamide Nmethyltransferase (NNMT), an enzyme implicated in adipose tissue energy handling and nicotinamide adenine dinucleotide (NAD+) turnover.