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The competition between NAD + salvage and the methylation of NAM suggests that NNMT may reduce the oxidation of fuel and increase the storage of fat by regulating the formation of NAD + (Trammell and Brenner, 2015)
Therefore, high blood serum levels of this can be a marker of liver disease, rather than a sign that the body overall contains optimal levels of vitamin B12

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If there is any doubt, a LogTag or similar logger could be placed in a warm part of the refrigerator near the top or a cold part near the bottom and the maximum/minimum values checked on a dailiy basis
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