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However, if the underlying cause of your deficiency remains such as pernicious anemia or ongoing medication use that impairs absorption your B12 levels will gradually decline after discontinuation

As people age or deal with stress, poor sleep, or unhealthy habits, NAD+ levels drop

This is because vitamin B12 is absorbed by first combining it with a protein called intrinsic factor produced in the stomach, then the B12 has to travel down the small intestine to an area called ileum for it to be absorbed properly

[2] [4] Important : If neurological symptoms are present (numbness, tingling, balance problems, confusion), treatment should not be delayed

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