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Conservative treatments include medications (e.g., steroids, vitamin B12, non-steroidal anti-inflammatory drugs [NSAID], and gabapentin), splint, and physiotherapy 4

The homocysteine and metabolic syndrome: a mendelian randomization study

6 This was associated with a significant increase in average population folate levels, and folate deficiency is now rare in Canada

Additionally, the NNMT substrate nicotinamide 12 is metabolized by the microbiome 56,57 , and thus NNMTi may modulate substrate availability, potentially influencing microbial metabolic capacity to drive the NNMTi-mediated weight loss
