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NAD+ doesn't only power metabolism
Studies have shown that B-12 positively affects the brain, helping reduce stress and improve cognitive functioning
[9] Unopened vials of Bacteriostatic Water for Injection have a long shelf life, usually on the order of 2-3 years from the date of manufacture (check the expiration date on the vial)
However, none of the studies reported on hematological or clinical outcomes
Your doctor can check this by doing a blood test
For a healthy person eating meat, dairy or fortified plant foods, the NHS view is that you do not need B12 injections
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