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Your provider will set realistic expectations

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In clinical use, significant side effects are uncommon, and the vast majority of patients tolerate the therapy without problems

Store it in the refrigerator and plan to reconstitute it within a few weeks

Discuss your interest in NAD+ precursors and/or AOD9604, your health history, and your goals

The latter two are often elevated with B12 deficiency (MMA is especially predictive) while emerging evidence suggests that holotranscobalamin better reflects your B12 status than serum levels, says Miller, since it measures how much of the nutrient is actually being delivered to the tissues of your body