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Compounded and FDA-approved medications are not interchangeable

lipid metabolism is reduced and NAD + generation is impaired 37

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Tear fluid collection and analysis were reported in accordance with the TEAR-reporting guidelines 24

Safety and Precautions Before receiving B12 injections, inform your provider about: All medications and supplements you take Any known allergies Your medical history Individuals with certain rare conditions (such as Lebers disease) or sensitivities to specific forms of B12 may need alternative approaches