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East Afr Med J

Institutional research settings that track NAD+ levels and methylnicotinamide excretion often find individual dose-response variability of 3040%, meaning the 'right' dose for one subject may be subtherapeutic or excessive for another

Perhaps investigate alternative remedies/avenues as well

But how much of this is backed by peerreviewed science and how much is marketing spin

A simple serum B12 and methylmalonic acid level confirms the diagnosis and supplementation reverses the neuropathy if caught before permanent nerve damage occurs

You can wait until a customer files a complaint
