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Routine B12 tests measure total B12, which includes both active and inactive forms

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Diet and lifestyle : Vegans, vegetarians, and those with low animal protein intake may metabolize B12 differently

For a patient friendly primer, see the patient friendly overview from the Cleveland Clinic explaining what nicotinamide adenine dinucleotide is and the essential role it plays in how every cell produces energy, and to understand what an in clinic protocol actually delivers, read our detailed guide to what an IV NAD+ protocol actually does inside your cells and the wellness benefits patients most commonly notice over a course of treatment

Healthcare professionals should maintain vigilance regarding these intersecting risk factors when managing patients on GLP-1 receptor agonists