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The mechanism is related to metabolic regulation and increased chemosensitivity of cancer cells: by inhibiting NNMT, the product disrupts the energy supply of cancer cells, making them more vulnerable to chemotherapy, while protecting the metabolic balance of normal cells and reducing side effects

However, indirect factors may increase the risk of B12 deficiency in patients taking Mounjaro or similar medications

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However, many MCAS patients are highly sensitive to standard methylated B12 (methylcobalamin), which can trigger severe symptom flares