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If the patient has a bacterial infection, antibiotics should be added

Dosing Protocol Suggested approach for the 50 mg vial format

Further, a secondary analysis of a trial in women at high risk for or with existing cardiovascular disease reported that high-dose supplemental B-vitamins (1 mg/day of vitamin B 12 , 50 mg/day of vitamin B6, and 2.5 mg/day of folic acid) for 7.3 years had no effect on risk of non-vertebral fractures (122)

One analysis did report a reduced risk of melanoma, but this was a cancer-specific finding rather than evidence that high-dose B vitamins prevent cancer generally

NAD+ Support Patients who have the NAD+ add-on may notice improved energy and mental clarity within weeks