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The NAD+/NADH ratio is a primary control point linking hundreds of metabolic reactions throughout the cell, and its dysregulation is implicated in a wide range of pathological states from metabolic syndrome and neurodegeneration to cardiovascular disease and accelerated cellular ageing

Rotate sites and clean with alcohol

Vitamin B12 oral forms are available without a prescription

There are no major side effects reported, though patients can experience diarrhea and swelling or redness at the injection site

In older patients, B12 deficiency can mimic early dementia, and correcting the deficiency sometimes produces noticeable improvement in cognitive function

Self-administration or dosage modification The first and most dangerous mistake is self-medication