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Some people report positive results with other treatments, but those with true pernicious anemia are unlikely to benefit at all

Tulloch-Reid MK, Hanson RL, Sebring NG, Reynolds JC, Premkumar A, Genovese DJ, et al

Weighing the Pros and Cons Let's summarize the potential benefits and drawbacks: Potential Benefits (Limited Evidence, Often Concurrently with Lifestyle Changes): Possible slight energy increase: Some individuals report increased energy levels, potentially improving exercise adherence

Despite that, many companies that market NAD+ are calling it NAD+ peptide

Biochemistry (2018) 57(40):57759

Your initial results may include increased feelings of hunger and less fatigue