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Older Adults : Aging can reduce the bodys ability to absorb B12 from food
Moreover, with a gluten-free diet a fast improvement of the cellobiose excretion and a slower recovery of the mannitol excretionsupposedly a marker of regeneration of the intestinal villiwas observed (85)

Fish, meat, poultry, eggs, milk and other dairy products are good sources of vitamin B12 Clams and beef liver are some of the richest sources of vitamin B12 Some breakfast cereals and non-dairy milks (soy, oat, etc.) are fortified with vitamin B12 If the body does not have enough vitamin B12 then you may experience symptoms such as fatigue, pale skin, headaches, low mood, stomach issues, difficulty concentrating, inflammation of mouth and tongue, pins and needles, muscle weakness, or impaired coordination

While this rapid evolution toward multi-agonist strategies and oral formulations promises enhanced efficacy, tolerability, and adherence, generating robust long-term safety and efficacy evidence remains imperative

Scientific References (External Links) Nature Chemical Biology: Small molecule inhibitors of nicotinamide N-methyltransferase View Study Biochemical Pharmacology: Nicotinamide N-methyltransferase: A promising target for treating metabolic disorders View Study FASEB Journal: Nicotinamide N-methyltransferase knockdown protects against diet-induced obesity in mice View Study Journal of Biological Chemistry: Inhibition of nicotinamide N-methyltransferase in vivo regulates cellular energy metabolism View Study