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NNMT overexpression has been associated with metabolic dysfunction, obesity, and reduced NAD+ availability

Low energy Weakness/Fatigue Insomnia Mood Changes Forgetfulness Pale/Jaundice skin Frequent headaches Problems maintaining balance Depression Mouth inflammation/ulcers Blurry Vision Anemia Vegan Diet Slow metabolism Are Vitamin B12 Injections the best option

Particular attention is paid to symptoms suggestive of biliary colic or cholecystitis, including the location and character of abdominal pain, its association with meals, and any accompanying symptoms like fever or jaundice

Materials and methods Study design and participants This single-center, prospective, case-control study was conducted between May 1, 2024, and September 1, 2024, at the Rheumatology Outpatient Clinic of Recep Tayyip Erdoan University Training and Research Hospital