Frequency varies depending on the clinical reason and individual needs
Red-flag symptoms requiring urgent assessment include new or progressive neurological symptoms (neuropathy, ataxia, cognitive change) or unexplained macrocytic anaemia
Patients should contact their GP urgently if neurological symptoms worsen, new symptoms develop, or signs of liver decompensation appear, as this may indicate inadequate treatment response or disease progression requiring specialist review
If the body cant get enough B12 from food or pills, shots are needed
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Higher NAD+ supports the cellular processes behind energy, repair, and metabolic resilience