If your secretory IgA is elevated, then this confirms you are fighting inflammation, intestinal permeability, infection or immune dysregulation
The good news is that the symptoms of vitamin B12 deficiency can be improved with B12 supplementation
In laboratory research environments, NNMT has been investigated for its involvement in metabolic signaling pathways and energy balance mechanisms
doi: 10.1186/2193-1801-3-2 274 FangXMaJMuDLiBLianBSunC
Therapeutic doses are higher than regular doses and help quickly fill up B12 stores in the body
The ones every three months have been helpful and Ive had no side effects, however the last two times Ive had the injections Ive been really struggling with fatigue (my main symptom) especially bad in the couple of weeks beforehand so Ive not been actually getting a huge amount of benefit from them as its just gone on helping the worsening fatigue, so my overall baseline fatigue hasnt actually been helped