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This creates a paradoxical situation: a patient might have "normal" or even high levels of Vitamin B12 circulating in their blood, but their actual cells are starving for the active coenzyme
10.1007/s13346-018-00613-y 6 BolamanZ.KadikoyluG.YukselenV.YavasogluI.BarutcaS.SenturkT
it's a critical, non-negotiable element for valid, reproducible results
Then came the next question, one thats now driving considerable clinical interest in how we optimize NAD+ therapy, especially for adults over 40
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