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I remember talking to a practice manager in a busy clinic last month

Oral absorption is considered too undependable to rely on in patients with pernicious anemia or other conditions resulting in malabsorption of vitamin B12

Individuals who have had gastric bypass surgery are also at risk due to alterations to the GI tract that impair the release and absorption of B12

SIRT1 activation promotes numerous anti-aging effects including enhanced mitochondrial biogenesis, improved stress resistance, reduced inflammation, and activation of cellular quality control mechanisms that remove damaged proteins and organelles

It is a research compound and is not FDA-approved

Pregnant or breastfeeding individuals should consult their healthcare provider to determine the most appropriate treatment plan