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Multiple Sclerosis Journal, 11 (3), 329335

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GPs will evaluate: Detailed symptom history Dietary habits and restrictions Medical history, including gastrointestinal conditions Current medications Family history of pernicious anaemia or autoimmune conditions NICE guidance emphasises that treatment should not be delayed whilst awaiting test results if clinical suspicion is high, particularly when neurological symptoms are present

NAD-driven metabolic activity increases the need for antioxidant protection