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Once you dissolve our methyl B12 in saline, youll need to use syringes with needles so that you can inject it
NICE guidance (CG189: Obesity: identification, assessment and management) recommends that all patients undergoing bariatric surgery receive comprehensive pre- and post-operative nutritional support
Consider delaying instead
But fatigue is not simply a symptom of low NAD. It can result from: Poor sleep Sleep apnea Iron deficiency Vitamin B12 deficiency Thyroid disorders Chronic stress Inadequate calorie intake Dehydration Medication effects Depression Infection Other medical conditions That is why I would be cautious about treating unexplained fatigue with an NAD injection before understanding why the fatigue exists
Finkelstein JD, Martin JJ: Methionine metabolism in mammals: Adaptation to methionine excess
10.1177/20503121241260000 234 KeshavarzianA.GreenS
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