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Vitamin B3 (niacin): Niacin is also needed for energy metabolism as it is a precursor to NAD+, a coenzyme required by every one of our cells for energy production, mitochondrial health, and DNA repair

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In the absence of neurological involvement, cyanocobalamin may be administered in doses of 250 to 1000 micrograms intramuscularly on alternate days for 1 to 2 weeks, then 250 micrograms weekly until the blood count returns to normal

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It should not cause anxiety, restlessness, or jitteriness