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NAD is administered through intramuscular injection, allowing it to bypass the digestive system and enter the bloodstream efficiently

However, the current research suggests that the dose found to do so may still be insufficient to keep vitamin B12 levels optimal

The published research summarized above is provided as scientific reference material

[15] [16] Tests may include full blood count, serum B12 levels, anti-intrinsic factor antibodies (to diagnose pernicious anaemia), and sometimes methylmalonic acid or homocysteine levels when the diagnosis is uncertain