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NAD+ depletion contributes to obesity and metabolic disorders

Your body will simply excrete the excess B12, as its a water-soluble vitamin

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BOMSS Guidelines on peri-operative and postoperative biochemical monitoring and micronutrient replacement for patients undergoing bariatric surgery

Herrmann W et al., Osteoporos Int 2009 B12, homocysteine, and bone health

The result is improved skin tone, texture, and flexibility over time