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Treatments are usually administered over several weeks to gradually restore NAD+ levels while supporting metabolic balance
Post-bariatric surgery patients gastric bypass significantly reduces B12 absorption
If your symptoms return before your next scheduled dose, that is a conversation for your GP, not a cue to add unrecorded top-ups
The ultimate goal is to generate clinical evidence that leads to official changes in treatment guidelines, ensuring that injection frequency is based on patient-reported symptoms and individual clinical response, rather than solely on national blanket protocols
Additionally, B12 injections may support cognitive function, boost energy levels, and improve mood
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