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Some patients begin with a short series of NAD+ treatments to support energy and focus, then transition to maintenance sessions spaced weeks or months apart

This form of B12 interacts with an enzyme called methylmalonyl CoA mutase, a metabolic enzyme, and may be useful for those with impaired energy production

Since there is not enough intrinsic factor for vitamin B12 to bind with and it cannot travel to the distal ileum to absorb into the blood, the body cannot absorb vitamin B12 properly

While B12 can be taken orally, injections or IVs are really the most effective, absorbable ways to get B12 into your system

The contraindications are due to health concerns

But, Vitamin B12 can help repair DNA, making them less effective