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Common risk factors include: A plant-based or vegan diet Digestive conditions like Crohns disease or IBS Long-term use of metformin or acid-reducing medications Aging (B12 absorption naturally declines over time) Chronic stress and poor sleep Why oral B12 supplements often fall short Oral supplements are widely available but their biggest limitation is B12 absorption

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Moreover, compounded NAD+ injections may improve athletic endurance and reverse the symptoms of chronic fatigue