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"but I do find it weird that my B12 is nonexistent and yet my RBC, MCV, and MCH are normal." Low B12 can lead to enlarged red blood cells (macrocytosis)

Research shows NNMT overexpression is associated with various metabolic dysfunction states, so its inhibition is useful for understanding these processes

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doi:10.3233/JAD-142814 Weiss, Jessica B et al