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More serious B12 deficiencies have the potential to impair heart and neurological function, leading to a wide range of serious symptoms, including but not limited to tinnitus, severe joint pain, memory problems, depression, anxiety, poor muscle function, ataxia and changes in reflexes

NAD + /NADH is involved in this process within the mitochondria, where NAD + is reduced to NADH in the tricarboxylic acid (TCA) cycle and is subsequently oxidized to NAD + in the ETC for ATP generation

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However, here are some general guidelines: For individuals with a B12 deficiency, a common protocol may involve a daily dosage of 1,000 mcg for one week, followed by the same dosage once weekly, and then once per month after addressing the deficiency

Early studies on 5-Amino-1MQ show promising results, particularly in animal models

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