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Low holotranscobalamin II or elevated MMA levels despite taking vitamin B12 supplements consistently is an indication youll need to discuss an alternative plan of action with your physician or plant-based dietitian

Pick the Plan That Matches Your Doctor Visits Count Your Annual Doctor Visits to Drive Your Decision Start with how often you actually visit doctors each year, because this number drives your financial decision more than anything else

Overall, NAD+ Injection side effects tend to be manageable, and your provider will monitor you, especially during initial doses, to ensure youre responding well

Lack of absorption and genetic factors may also contribute to vitamin B12 deficiency