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Adults Healthy adults aged 19 years and above are expected to have a vitamin B12 intake of 2.4 mcg per day

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Medical nutrition therapy services are defined in section 1861(vv) of the Act as nutritional diagnostic, therapy, and counseling services for the purpose of disease management which are furnished by a RD or nutrition professional pursuant to a physician's referral

While NAD supplements exist, their effectiveness is questionable due to poor bioavailability when taken orally

This represents a significant limitation in the evidence base, as large-scale human trials examining musculoskeletal applications have not been published

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