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[77] Non-ruminant, non-hindgut herbivores may have an enlarged forestomach and/or small intestine to provide a place for bacterial fermentation and B-vitamin production, including B 12

The pathophysiology of elevated vitamin B12 in clinical practice

When NNMT is overactive, it consumes excess NAD+, leaving less available for these critical processes

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Common signs include persistent fatigue (even after a full nights sleep), brain fog, mood swings or irritability, numbness or tingling in the hands or feet, and a weakened immune system