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They can include: Pregnancy Thyroid problems Neurologic lesions Spinal cord injury Sleep apnea/narcolepsy Varicose veins Hand/feet nerve issues Alcoholism Related treatment:the best restless legs syndrome treatment in Arkansas

Your doctor may recommend earlier testing if you: Develop neurological symptoms Experience unexplained fatigue Have anemia Take high-dose metformin Have digestive disorders affecting absorption Have previously been diagnosed with vitamin B12 deficiency Rather than following a fixed calendar, clinicians usually individualize monitoring based on the patients overall health

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Some patients may struggle to absorb enough B12 from diet or oral supplements, especially those with conditions like pernicious anemia, gastrointestinal disorders, or those who have undergone certain surgeries

Increased NAD+ Levels: More nicotinamide available for NAD+ biosynthesis via NAMPT enzyme 2
