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The choice of treatment should be individualised, considering the underlying cause, symptom severity, patient preference, and practical factors such as access to healthcare facilities for regular injections

If you are deficient in B12, a course of injections or high dose oral supplementation may be advised

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A few of the most significant contributors to NAD+ depletion include: CD38: An enzyme that breaks down NAD+ and becomes more active with age, especially in response to inflammation

Therefore, maintaining sufficient levels is important

If your client does not feel the effects after 2 3 injections, then it is more than likely that they are not B12 deficient