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The common side effects of B12 shots include pain at the injection site, mild swelling, and temporary redness

Another therapeutic strategy for kidney or liver diseases is increasing NAD + production by inhibiting ACMSD in the de novo NAD + synthesis pathway 235,301

Let your provider know if anything unusual happens

The FDA explains that compounded drugs are not FDA-approved , meaning the agency does not verify their safety, effectiveness, or quality before marketing (see Compounding and the FDA: Questions and Answers )

Ultimately, the choice depends on your needs, preferences, and circumstances
