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Studies often explore NAD+ for its role in mitochondrial activity, oxidative stress modulation, and sirtuin-related pathways

These interactions may not only affect how well the body absorbs B12 but also how it metabolises and utilises the vitamin, potentially leading to an increase in discomfort post-injection

What we tell patients: Keep training, but dont try to PR every session Reduce intensity on the affected area for the first 2 to 3 weeks Add mobility work, not subtract it Listen to pain signals

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