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What they probably didnt mention is that functional B12 deficiency can begin at levels well above the standard cutoff and that by the time serum B12 drops below the labs flagged range, neurological damage may already be underway

In a recent review (2018) by the famous Cochrane Institute, it was reported that studies which had been published on this topic only provided very low-quality evidence that oral B12 is as efficacious as intramuscular B12

There is essentially no downtime following NAD injections, and most patients return immediately to normal daily activities, work, errands, or exercise after their appointment

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