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Screening may be warranted in patients with one or more risk factors, such as gastric or small intestine resections, inflammatory bowel disease, use of metformin for more than four months, use of proton pump inhibitors or histamine H 2 blockers for more than 12 months, vegans or strict vegetarians, and adults older than 75 years

Vitamin B12 is used for Red blood cell production

Nicotinamide N-Methyltransferase: A Novel Regulator of Metabolic Homeostasis. Trends in Endocrinology & Metabolism , 28(5), 340-353.

NNMT is a metabolic enzyme widely distributed in the cytoplasm of human cells

Step 5: Document baseline Photograph target areas in consistent lighting

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