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The methods range from dietary or intravenous administration of NAD + and precursors to inhibition of NAD + -consuming enzymes with small molecules, to activation of the NAD + synthesis enzymes

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Even low-normal B12 levels can result in deficiency symptoms

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The condition differs from other forms of B12 deficiency because it stems from an autoimmune process attacking parietal cells rather than dietary insufficiency or malabsorption disorders

Reconstituted: refrigerate at 2 to 8 degrees Celsius