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2016 doi: 10.1016/B978-0-323-28745-6.00017-X

Reduced overall food intake a deliberate outcome of the surgery also limits the total amount of B12 consumed through diet
Altogether, initial reports of NAD + precursors and exercise in clinical trials, while encouraging in certain instances, are still too inconclusive to directly link an increase in NAD + levels and mitochondrial metabolism to established health benefits in humans

Early diagnosis is key to preventing nerve damage from B12 deficiency
