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NAD+ levels naturally decline with age, contributing to fatigue, cognitive slowdown, and reduced physical resilience

Vegetarians and Vegans Since B12 is primarily found in animal products, vegetarians and vegans are at a higher risk of deficiency

We do not have the ability to measure the active fraction only and conclusive cut-off points to define deficiency are not currently possible

The Watchful Waiting: Liver and Kidney Stress Potent antibiotics can sometimes cause a temporary spike in liver enzymes (ALT/AST) on a CMP or, in a hospital setting with IV medications, a rise in creatinine