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PMID 12424433

Consequences of Low NAD+ Levels Fatigue and slow recovery: Mitochondrial inefficiency leads to ATP shortages

Fortunately, vitamin B12 deficiency is rare, according to Cleveland Clinic, as the body doesn't need much

Vitamin B12 injections are not for the faint of heart, though, as they must be inserted in thick, deep muscular tissue in order to work

Still, it is best to check with your insurance provider to confirm if they have a plan for flexible reimbursement of specific treatments and if you qualify for that plan

Where there is neurological involvement, the loading phase uses alternate-day injections until there is no further improvement, and maintenance is 1 mg every two months