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For the broader picture, our NAD and peptides explainer covers why the two get confused

Polycythemia vera An uncommon blood disorder where the red blood cell count increases too much

Pairing B12-rich foods, like meats, fish, and dairy, with your injections can enhance their impact

Because injections bypass the digestive tract, they may be preferred when absorption is the main concern

While the etiology of NTD is multifactorial, some studies have found that blood concentrations of homocysteine or holo-transcobalamin to be lower in NTD-affected infants and mothers compared to non-affected controls (reviewed in 59)

However, not everyone converts synthetic forms efficiently, particularly those with higher metabolic stress, liver strain, or certain genetic variations including the MTHFR mutation