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Description
I have since had two other B12 levels drawn, 6 months ago and last week
In an environment with elevated CD38 activity, such as seen in SSc lesional skin, administering NAD + precursors or enhancing NAD + synthesis will have limited effect on increasing NAD + levels, as elevated CD38 continues to degrade NAD +
Your doctor will give you the right dosage of vitamin B12 supplement, especially if you will inject it
However, quality capsules and tablets are still a good form of B12 delivery for those without issues like IBD
