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Patients have also occasionally experienced thyroid tumors

Women taking long-term medications such as metformin (for diabetes or polycystic ovary syndrome) or proton pump inhibitors (for acid reflux) may also have reduced B12 absorption

Men who worry about their B vitamin levels should talk to their doctors about testing and maybe taking a quality multivitamin

Serious reactions are very uncommon

the consequences of pharmacologic NNMT inhibition in users with subclinical malignancy are uncharacterized

Because alcohol interferes with how the body absorbs, stores, and metabolizes these nutrients, replenishing them through a nutrient-rich diet or a B-complex supplement (with a clinician's input) is one of the steps the post recommends for people cutting back or quitting