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Conditions include pernicious anemia (autoimmune), gastric surgery, chronic PPI use, H
The 2024 NICE update was explicit on one point: do not rule out B12 deficiency just because the standard blood count looks normal
For patients pairing B12 with NAD+ IV therapy during energy-focused protocols, B12 typically runs weekly between NAD+ sessions and helps sustain the cellular energy benefits between infusions
These include drugs affecting blood cell production (chloramphenicol, anticancer or HIV drugs) and other vitamin and mineral supplements (especially folic acid)
For those with a genuine, diagnosed B12 deficiency causing their fatigue, improvements can sometimes be noticed within a few days to a week
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