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NNMT IC 50 Curves for Inhibitors

Medications such as histamine 2 receptor antagonists and proton pump inhibitors (PPIs) (lansoprazole, omeprazole, and esomeprazole) that suppress gastric acid may lower total serum B12 levels by impairing the release of B12 from food (Damodharan et al., 2021

Patients commonly report steadier energy throughout the day, fewer crashes, and better mental clarity

Ideal for active individuals or those looking to enhance their wellness routine and recovery

Accelerated gastric emptying, which can occur after sleeve gastrectomy, may allow less time for B12 extraction and binding, though this is considered a secondary mechanism

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