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[27] Additionally, anyone with Lebers hereditary optic neuropathy (a rare inherited eye disease) must avoid cyanocobalamin injections, since B can precipitate rapid worsening of that condition

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Individuals with Poor Absorption: People with low stomach acid, or those who have had certain surgeries (like gastric bypass), may struggle to absorb B12 from food and would benefit from injections

NAD+ helps improve energy at the cellular level, and B12 helps with fatigue from deficiencies

This makes it a powerful tool in body recomposition, weight management, and longevityfocused programs, as it supports fat reduction while preserving lean muscle mass and enhancing overall metabolic health