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Journal Clinical Pharmacology 56 (6), 635638

Vitamin B12 deficiency that is allowed to progress for longer than 3 months may produce permanent degenerative lesions of the spinal cord

Depending on your diet, absorption, and current levels, they can tell you whether injections, supplements, or a mix makes the most sense for you

By inhibiting NNMT, it leads to an increase in intracellular levels of NAD+ (nicotinamide adenine dinucleotide), a critical coenzyme for cellular metabolism and mitochondrial energy production