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Why Vegans are at Risk of Vitamin B12 Deficiency

[1] [2] B12 injections are primarily prescribed for patients with pernicious anaemia , an autoimmune condition where the stomach cannot produce intrinsic factor, a protein essential for B12 absorption in the gut

You may also notice an improvement in coordination and balance
Another relatively novel role of NAD + is involvement in forming non-canonical caps on the 5 end of RNA that mark RNA for degradation in eukaryotes 337339
