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It works by binding directly to the IGF-1 receptor (IGF-1R) on muscle and other tissue, activating the PI3K/Akt and MAPK signaling cascades that drive cell growth and proliferation

Macrocytic anaemia and glossitis (sore, red tongue) may also develop

Some reasons your body may not be able to get enough B12 from food include: Anemia Gastritis Crohns disease Celiac disease Alcohol use disorder Sjgrens syndrome Weight loss surgery, or surgery that removes part or all of your stomach A vegan or strict vegetarian diet (as B12 is only found in animal products) Medications, such as metformin and drugs used to treat gastroesophageal reflux disease (GERD), indigestion, and stomach ulcers Pregnancy Your doctor could also order a B12 test based on your symptoms

Its no surprise that many turn to NAD for its holistic benefits, making it a popular choice among those who pursue integrative health and wellness solutions

Specifications: Unit Sizes: Commonly available in 10 mL and 30 mL vials