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Some patients may require imaging studies (ultrasound, CT scanning) or referral to hepatology, haematology, or oncology services
This retention advantage may explain why some patients feel more prolonged effects from methylcobalamin even if blood levels look similar
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For those who are seasoned NAD+ users, or that are administering higher doses (more than 50 units weekly), we recommend ordering a 5mL vial to support a full monthly supply
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