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Cellular studies have shown that exogenous NAD + can impact mitochondrial activity, such as boosting Krebs cycle and the ETC, but also impair genomic DNA replication and induce DNA replication stress due to impairment of pyrimidine biosynthesis 118

Understanding the interaction between B12 and iron is key for effective treatment

Monitor blood sugar if diabetic/pre-diabetic If hypoglycemia occurs: Consume 15g fast-acting carbs immediately Wait 15 minutes Check symptoms

I hope you are relieved of your symptoms and are back to work soon
