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Common lipotropic nutrients found in the injection include choline, methionine, inositol, and betaine
But if you have nerve damage from your lack of B12, it could be permanent
The result is a vicious cycle where declining NAD+ leads to worse metabolic function, which can lead to weight gain, which increases NNMT activity further
A common pattern is a Myers Cocktail (which already has B12) once or twice a month, plus a quick standalone B12 shot in between if energy dips during a heavy stretch
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