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When NAD+ is administered, it is ultimately metabolized to nicotinamide (vitamin B3) as it is utilized in the body

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Whilst this route is essential for treating pernicious anaemia and other malabsorption conditions, it can produce serum B12 levels far exceeding physiological requirements

People with a family history of vitamin B12 deficiency

It is not intended for human or animal use, and must not be misused in any way that contravenes MHRA regulations or applicable laws

Under perfect refrigeration (2-8 degrees Celsius), tirzepatide loses approximately 1-2% potency per month after expiration