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The mice were fed normally after administration, and the survival status of the mice was observed, and the body weight and tumor volume of the mice were recorded as previously described

Plus, there is a published double-blind, placebo controlled study using this supplement

NAD Diagram: Nicotinamide-containing Nucleotide (top) and Adenine-Containing Nucleotide (bottom) NAD can have an additional phosphate group added to the ribose molecule of the adenine-containing nucleotide by an enzyme called NAD kinase* to create nicotinamide adenine dinucleotide phosphate (NADP)

doi: 10.1016/j.tibtech.2017.02.012 172 DudzikDBarbas-BernardosCGarciaABarbasC

Its important to note that having vitamin B12 levels too high doesnt usually cause symptoms on its own, but it can be a marker for other medical concerns that need attention