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Liu et al., 2017

Vitamin B12 is also known as cyanocobalamin or methylcobalamin

NAD+ has been shown to reduce inflammation, which is a key contributor to the experience of pain

That is the inflection point

Several conditions interfere with the guts ability to absorb cobalamin effectively: Inflammatory bowel disease: Chronic inflammation of the small intestinal lining damages the cells responsible for absorbing nutrients, including B12

RxPepsDirect prescribes Tirzepatide/B12 in the 28 states its medical team is licensed in