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This metabolic shift occurs due to the peptides action on the nicotinamide methylation pathway , which increases intracellular NAD+ availability, facilitating greater oxidative metabolism

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Anemia can also be caused by a restricted diet, poor iron absorption, repeated blood testing, or the hemodialysis removal of iron and vitamins

B12 thins the blood and prevent stickiness which improves the cells from sticking together which can lead to a blood clot and reduce the risk of a stroke

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