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In these situations, its usually recommended that you supplement your diet with either a B12 shot or oral supplement

Certain populations may require more frequent maintenance

A good rule of thumb is to choose a new spot for each injection, staying at least two inches away from your last one

This review study highlights the biological effects of different NAD+ boosters as well as the unique benefits of direct NAD+ administration over oral precursors because it bypasses gut and liver metabolism

Serum B12 alone can be misleading, while methylmalonic acid levels offer a more accurate assessment of whether the body is utilizing available B12