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We measure serum vitamin B12 levels before starting and at follow-ups

When taken orally, it travels through the digestive tract before reaching circulation

For instance, patients with inflammatory bowel disease, such as Crohns disease, or those with celiac disease , may have trouble absorbing vitamin B12 due to gut damage

For lyophilized powder, assume 48 hours at room temperature (acceptable risk)

NR supplementation increased NAD + levels and improved clinical symptoms, suggesting NRs potential as a safe therapeutic strategy for PD patients

Treatment availability depends on eligibility, clinician review, and applicable requirements