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[7] Contraindications, Precautions & Interactions At the time of writing, there were no other reported contraindications/precautions/Interactions for NAD+ injection

Conclusions B12 injections are one of several prophylactic B12 options now available for those with altered gastric acidity and/or Intrinsic Factor

So lets make this simple

Research shows that people who used semaglutide had lower vitamin B12 levels (they also had bariatric surgery before using semaglutide), and another study concluded that people with obesity had lower B12 levels

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The shipment arrived in excellent condition