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When B12 levels are low, patients may feel tired, run down, mentally foggy, or less resilient during the day

It is postulated that through these mechanisms, NAD+ repletion might improve cellular energy capacity and resistance to oxidative stress

B12 injections are safe and effective when administered appropriately

Avoid concurrent use unless directed by a healthcare provider

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The latter is better, but we recommend methylcobalamin, as it includes a methyl group and directly aids in lowering homocysteine levels and in fixing nerve damage, two issues often faced by pernicious anemia and B12 deficiency patients