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NAD+ serves as an essential coenzyme in the mitochondrial electron transport chain and as a critical substrate for sirtuins, PARPs, and CD38-type enzymes involved in DNA repair, stress resistance, and metabolic homeostasis

Common brand names for vitamin B12 tablets include Nascobal and Cobex

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[1] [2] Some patients report reduced symptoms within weeks of starting treatment, whilst others may require several months of consistent supplementation before noticing significant improvement

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