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So when a medic says that someone with PA "can use the stored B12 in their liver", as far as I know, we simply don't know whether this is true or not

The intrinsic factor then binds with B12, facilitating the uptake of B12 in the small intestines.[ref] Without intrinsic factor, you cant absorb B12 from animal proteins

As inflammation is a very complex and multipurpose process, additional studies are needed to better understand how NAD + levels influence different inflammatory states and in what context, and to determine how, mechanistically, NAD + metabolism impacts the biology of inflammatory immune and senescent cells

Start by thoroughly cleaning your chosen work area, like a countertop or table, with a disinfectant wipe