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Elevated Serum Vitamin B12: Causes, Workup, and Clinical Meaning A patient comes in after routine blood work, and the report flags a serum vitamin B12 of 1,250 pg/mL

NNMT upregulation also elevates homocysteine levels, activating pro-inflammatory and pro-oxidative cascades (TLR4-NF-B and STAT3-IL-1 pathways) linked to atherosclerosis, heart failure, and coronary heart disease

Quality: Its also best to choose a product that has been third-party tested, as this ensures that it has been tested for heavy metals, contaminants, and accuracy of the label

Verified purity matches the COA

Compound Class: Small-molecule NNMT inhibitor