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People with pernicious anemia or significant gastrointestinal absorption issues may be placed on injections for this reason

Some people need a quick energy boost every week or two, while others do best with monthly maintenance

Can it be combined with NAD precursors in research

Appetite Effects The question about appetite is interesting because the proposed mechanism could reasonably go either direction: Reduced lipogenesis and improved metabolic flexibility could produce secondary effects on appetite regulation NAD+ restoration has complex effects on hypothalamic appetite signaling Preclinical data do not consistently describe dramatic appetite changes In human use were it to become clinically available patient-reported appetite effects would be a relevant monitoring parameter, but the data do not currently support a strong a priori expectation

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