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"Her GP gave her a course of 6 vitamin B12 injections" My understanding of UK guidance on treatment for B12 deficiency is that as neurological symptoms were present eg twitching, memory problems then the treatment should have continued beyond the 6 loading injections

Repeat dose NRPT (nicotinamide riboside and pterostilbene) increases NAD+ levels in humans safely and sustainably: a randomized, double-blind, placebo-controlled study

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Immunofixation interference Furthermore, administered human IgG1, monoclonal antibodies can interfere with the detection of clonal IgG, molecules in the sera of MM patients, as measured by serum protein electrophoresis and/or immunofixation electrophoresis (IFE), owing to comigration in the assays [53]