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Extracellular NAD + preferentially induces apoptosis of resting T cells and Tregs, while thymocytes and primed T cells deficient in ART2 expression are resistant to NICD [102, 105,106,107]

DOI: 10.3390/ijms222212269

This is why many people get cheilitis simplex or lip lickers dermatitis in the winter.

It would be advisable to tell him / her that you have supplemented with B12 (since a high serum B12 level, in the ABSENCE of supplementation, can be indicative of other serious conditions, so your GP will need to know that the high level is probably due to supplements)