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Annual B12 screening is recommended for individuals on long-term Metformin therapy, especially those on high doses or taking proton pump inhibitors

Documented practice: When multiple vials are purchased for an 8-week cycle, documented practice is to keep the second vial in the freezer as powder and reconstitute it only when the first vial runs out (around day 28-30)

Advocates propose that boosting NAD+ could increase energy levels, enhance mitochondrial function, and improve fatigue or cognitive clarity in some individuals

How It Works: Vitamin B12 plays a critical role in red blood cell formation, nervous system health, and energy production

It is also explored by patients who suffer from gastrointestinal problems such as inflammatory bowel disease (IBD), ulcers, or leaky gut syndrome, as it may help repair the gut lining and reduce inflammation in the digestive system