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If you're pregnant or breastfeeding, consult your doctor before getting vitamin B12 shots

This NAD+ elevation activates sirtuins, particularly SIRT1 in adipocytes and hepatocytes, which deacetylates and activates numerous metabolic regulatory proteins including PGC-1, a master regulator of mitochondrial biogenesis, oxidative metabolism, and thermogenesis

B12 can also be administered with subcutaneous fluid therapy

Vitamin B12, like any medication, can have potential risks and side effects, particularly if administered incorrectly or in excessive doses

The goal is modified activity that allows healing while preventing deconditioning and stiffness

Keep all medications out of reach of children and pets, preferably in a designated medication area