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Further, NICE and the BNF says that if there are neurological symptoms present, then every other day injections are the recommended treatment, so all the points you make about B12 being stored and sufficient are not really relevant

As damage accumulates with age and NAD+ falls, repair capacity is compromised (Fang et al., 2017)

They are smaller than proteins but operate with a specificity that makes them clinically attractive: a well-designed peptide can engage a single receptor type with high precision, producing a targeted physiological response with limited off-target effects

More energy An increasing number of people are turning to B12 injections as a way to boost energy, often so they can get more exercise and lose weight in the process