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And here's where it get difficult again...there are many types of anaemia (not just macrocytic or iron anaemia) so pinning the anaemia down to just those causes (especially if those potential causes are being treated) might be a reductive approach - especially as you still have symptoms which could be due to anaemia

Rather than raising NAD+ systemically (as NMN or NR supplementation does), NNMT inhibition preserves NAD+ specifically in the tissue where metabolic dysfunction is most pronounced a precision approach that appeals to researchers studying tissue-specific metabolic regulation

But that me out on thyroid issues - you can get really good help on the thyroid forum if you need more advice on all things thyroid