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Taking certain medicines for a long time, like proton pump inhibitors or metformin, can block B12 absorption

While some places might market it for general energy boosts or weight loss, if your B12 levels are already normal, there's little scientific proof that these injections will give you a significant energy rush or help you lose weight

Potential risks include mild side effects like nausea from NAD+ infusions, but overall profiles are favorable.[40] Who Benefits Most from Combination NAD+ and 5-Amino-1MQ Therapy

Identification of nicotinamide N-methyltransferase as a promising therapeutic target for sarcopenia