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Importantly, persistently high serum B12 in the absence of supplementation should prompt GP assessment, as it may indicate underlying disease processes

Oral supplementation of nicotinamide riboside alters intestinal microbial composition in rats and mice, but not humans

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B12 Injections In cases of severe deficiency or poor absorption (such as in pernicious anemia), intramuscular B12 injections may be necessary for faster correction

Well also touch on the big question: will insurance help foot the bill