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Mitochondria, often called the powerhouses of cells, rely heavily on NAD+ for ATP synthesis

A similar effect is observed when combining the drug with hormonal contraceptives

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Injection We can administer B12 shots quickly and conveniently to suit even the busiest schedules

While much attention is given to B12 deficiency, known for causing fatigue, neurological changes, and anaemia, less is said about elevated B12 levels, which can be just as important to recognise 2

3 The UK National Institute for Health and Care Excellence (NICE) states that a cut-off of 200 ng/l identifies 97% of people with B12 deficiency, and a level below 100 ng/l is usually accompanied by metabolic or clinical evidence of B12 deficiency