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Conditions like pernicious anaemia (an autoimmune condition affecting a protein called intrinsic factor vital for B12 absorption), stomach issues (such as from reduced stomach acid or certain medications like proton pump inhibitors), intestinal disorders (like Crohns disease or coeliac disease), or even surgical removal of parts of the small intestine (e.g., gastric bypass surgery) can prevent proper absorption

NAD+ is a research peptide

For a comprehensive list of all possible side effects of this medication, consult a veterinarian

Problems arise when nitric oxide production decreases or when the molecule gets broken down too quickly