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Although nNOS and eNOS are mainly expressed steadily in neurons and endothelial cells regardless of the cell's metabolic state, iNOS exists in trace amounts under healthy conditions and is synthesized de novo in some immunological cells, such as microglia, via inflammatory triggering (32)

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Effects on GLP-1 specifically varied widely between studies, likely due to different bacterial strains used

Your doctor will review your medication list, assess whether supplements are contributing to elevated B12 levels, and determine appropriate adjustments based on your complete clinical picture and the reason you were prescribed B12