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2020 Oct Mario Vitali, Enrico Tedeschini, Martino Mistretta, Kiki Fehling, Franca Aceti, Mauro Ceccanti, Maurizio Fava

This is why we believe the optimal strategy for taking NAD is by combining daily oral NAD precursors for baseline support with periodic and loading dose IV or injection therapy

If these symptoms are mild and occur occasionally, monitoring them closely may be sufficient

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Additionally, some individuals taking Mounjaro may have pre-existing conditions that independently increase their risk of B12 deficiency, such as previous bariatric surgery or concurrent metformin use (the MHRA has highlighted that metformin can reduce vitamin B12 levels)