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[3] Initial treatment of pernicious anemia typically consists of 1,000 mcg intramuscularly daily for one week, then weekly for four weeks, transitioning to 1,000 mcg monthly for life

People taking certain common medications including metformin for blood sugar management and proton pump inhibitors for acid reflux also face increased deficiency risk

But the right dose and how often to give it depends on the patient

As we age, NAD+ levels drop, leading to fatigue, inflammation, and brain fog

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