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Elevated NAD Levels: Fuels mitochondrial function, DNA repair, and cellular resilience (Kannt & Pfenninger, Frontiers in Physiology )

When levels drop, replenishing B12 directly can help support both physical and mental well-being

Other risk factors include certain gastrointestinal conditions, autoimmune conditions such as pernicious anaemia, long-term use of some medications, and increasing age