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Several mechanisms are associated with the neuroprotective effect of NMNATs, including the suppression of ROS production, mitochondrial stabilization [120], promotion of the clearance of hyperphosphorylated Tau protein oligomers [121], autophagic clearance of amyloid plaques in Alzheimers disease models [122], and reduced accumulation of mutant Huntingtin (Htt) aggregation [123]

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Contact your GP for B12 testing if you have: Symptoms suggesting deficiency (persistent fatigue, pins and needles, memory problems, glossitis) Risk factors for deficiency (vegan diet, gastric surgery, long-term metformin or proton pump inhibitor use) [1] [4] Concerns about whether your current supplementation dose is appropriate Underlying conditions affecting B12 metabolism (kidney disease, liver disease) Unexplained high B12 levels on a blood test when not taking supplements Routine monitoring is essential for patients receiving therapeutic B12 injections

Serious reactions are rare