When you are deficient in B12, you can become anemic, which means your red blood cells arent producing enough oxygen, leading to exhaustion, breathing problems, weakness, headaches, and more
This metabolic shift occurs due to the peptides action on the nicotinamide methylation pathway , which increases intracellular NAD+ availability, facilitating greater oxidative metabolism
Optic nerve atrophy can worsen in patients whose methylcobalamin levels are already elevated
Consider NAD+ injections or IV hydration therapy
It is the industry-standard preservative for this application
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