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They are a wellness add-on for generally healthy people, not a treatment for any medical condition
The NHS Inform Scotland guidance ties the maintenance schedule to the cause of the deficiency, which is why the plan is revisited rather than left on autopilot
An additional indicative point is sequential involvement
The choice typically comes down to your provider's preference, your absorption profile, and what your pharmacy stocks
Cyanocobalamin Drugs (BNF/NICE)
They just may not be enough on their own once NAD+ depletion has already begun
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