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Do I need labs before starting NAD+

Although there is no formal recommendation for screening for vitamin B 12 deficiency in asymptomatic elderly people, the high prevalence, higher risk of deficiency in the elderly, easy and safe treatment availability warrant more liberal testing and vitamin supplementation in the elderly

NHS Guidance on B12 and Lipotropic Treatments The NHS provides clear, evidence-based guidance on vitamin B12 supplementation, but lipotropic combination injections fall outside standard formulary recommendations and are not routinely available through NHS services