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If you have questions about your B12 levels, talk to your doctor
High NNMT expression is closely associated with glucose dysregulation: excessive NNMT activation disrupts nicotinamide metabolism, lowers NAD+ levels, impairs insulin signaling, reduces cellular glucose uptake and utilization, and promotes hyperglycemia and insulin resistance
Therefore, vitamin B12 supplements are recommended for dogs with digestive ailments, including long-term diarrhea or chronic colitis, inflammatory bowel disease (IBD), and exocrine pancreatic insufficiency (EPI)
taken orally as a mixed powder, capsule, or ready-to-drink dose, generally used continuously or in 8-12 week cycles to assess effect Pros: Widely available, inexpensive, and legal over-the-counter with no prescription needed Strong safety track record from decades of dietary use Supported by multiple randomized controlled trials for skin hydration/elasticity and joint comfort Cons: Effect sizes are often modest and some trials show outcomes close to placebo Requires weeks to months of consistent daily use before noticeable benefit Not a substitute for injury-specific treatment in acute or severe injuries Side Effects: Generally well tolerated