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Before considering it, it's important to know who might benefit and who should be cautious

Understanding Safe Limits While B vitamins are water-soluble and your body flushes out what it doesnt use, there is such a thing as too much, especially with frequent or high-dose injections

This elevation in NAD+ activates SIRT1, a master regulator of metabolic pathways that promotes fat oxidation, enhances mitochondrial function, and improves insulin sensitivity

NICE recommends more frequent injections (alternate days until no further improvement) for patients with neurological involvement

Correcting a true B12 deficiency can improve energy and exercise capacity, which may indirectly help with diet and training