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In addition to diet and lifestyle changes, tesofensine can help optimize dopamine response in obese patients

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[15] [18] For borderline results, additional tests such as methylmalonic acid, homocysteine, or holotranscobalamin may be considered
(PubMed) Essen A, Santaolalla A, Garmo H, et al

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Reviews on NNMT inhibition and metabolic regulation