Supports adrenal health, energy production from foods, and is beneficial for arthritis, allergies, acne, skin problems, and sexual endurance
It is more stable, longer-lasting and clinically superior to cyanocobalamin a cheaper synthetic form widely used in beauty salons and non-medical clinics that contains a small amount of cyanide which the body must detoxify
We usually test before starting treatment, then after 1-3 months
A 2021 review in Nature Reviews Molecular Cell Biology describes a gradual drop in tissue and cellular NAD+ across aging in rodents and humans, and links that fall to metabolic disease, cognitive decline, and sarcopenia [1]
By the way, even if you dont have pernicious anemia, but a severe B12 deficiency due to other causes, B12 shots are still the way to go