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Description
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Order serum B12 and folate to differentiate. Such prompts reduce diagnostic uncertainty and improve documentation specificity before coding occurs
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Additionally, berberine, an alkaloid found in several plants including goldenseal and barberry, further supports SIRT1 activation through its ability to induce NAD + biosynthetic pathways and improve metabolic health 180

In obesity and metabolic dysfunction, NNMT is often overexpressed in adipose tissue, depleting nicotinamide and lowering NAD+ availability [2]