The cost for the 4 of the 10 mg vials is $499 for the first vial and $499 if renewed within 45 days or $699 if renewed after 45 days
Verification with serum methylmalonic acid and/or serum homocysteine level may be necessary in asymptomatic patients with high-risk conditions, symptomatic patients with low-normal levels of vitamin B 12 (200 to 350 pg per mL), or symptomatic patients in whom vitamin B 12 deficiency is unlikely but must be excluded
However, with the current environments we live in and the poor quality and mass production of food, especially animal products at the moment, everyone is at risk of having below sufficient levels of Vitmain B12
Options may include oral supplements, dietary guidance, or B12 injections, all designed to restore healthy levels safely and effectively
NNMT is a cytosolic enzyme that methylates nicotinamide (vitamin B3) using S-adenosylmethionine (SAM) as a methyl donor