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Nutrition: Maintain adequate dietary fats for steroid-hormone synthesis and sufficient protein and micronutrients (zinc, vitamin D, magnesium)

Typically, vitamin B12 deficiency is associated with macrocytic anemia, but in this patient, serum iron was also decreased, indicating a mixed anemia, making the diagnosis difficult

Correct site selection helps ensure effective medication absorption and reduces the risk of nerve injury, vascular damage, and injection-related complications

Future medicinal chemistry efforts may yield next-generation compounds with enhanced properties, including improved tissue selectivity, modified pharmacokinetics, or additional mechanistic activities that complement NNMT inhibition