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on a cohort of 218 institutionalized elderly patients with median age 80 years old showed that an algorithm that combined biochemical, hematological, and morphological data proved more effective for the diagnosis of vitamin B 12 than the isolated markers (Palacios et al., 2013)
It works by inhibiting NNMT, which may affect cellular energy metabolism and fat storage pathways
(PubMed) Bensky MJ, Ayalon-Dangur I, Ayalon-Dangur R, et al
