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Diagnosis typically involves a full blood count (FBC) and mean corpuscular volume (MCV) which may show macrocytic anaemia alongside serum B12 and serum folate levels

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In models where nerves have been transected or crushed, treatment with the peptide has led to accelerated functional recovery, improved nerve conduction, and enhanced histological signs of healing

NAD+ also activates enzymes like sirtuins, which play roles in cellular stress response, inflammation control and metabolic regulation