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Lower mitochondrial NAD+ means lower ATP output, which shows up as fatigue, reduced physical performance, and slower recovery from exercise
10.1016/j.vph.2018.02.010 100 VukojeviJ.VrdoljakB.MalekinuiD.SiroglaviM.MilaviM.KolencD.et al (2020)
Otherwise deficiency can be treated with vitamin B12 supplements, B12-fortified foods and natural B12 food sources
Most people begin with weekly injections, tapering to monthly maintenance once their levels stabilize
Everyone is individual, but most people benefit from a weekly shot for four weeks
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