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I told them they had to go and get a B12 shot which they did every week for 6 weeks

If they last longer or feel severe, let your doctor know

If you continue to have symptoms despite following a gluten-free diet, this may be why and its worth discussing this with your dietitian or doctor

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Notably, increased NAD+ levels also activate NAD+dependent signaling pathways such as sirtuins (SIRT1/SIRT3), further enhancing mitochondrial biogenesis and energy metabolism