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Higher NAD+ activates the sirtuin family of NAD+-dependent deacetylases, particularly SIRT1, which deacetylates PGC-1alpha (promoting mitochondrial biogenesis), FOXO transcription factors (enhancing stress resistance), and NF-kappaB (reducing inflammation)

This delivers a rapid surge of B12 into the bloodstream, crucial for swift correction in severe deficiency cases

Per the brand's own positioning, the Longevity Program is built around adults who want a clinician-guided approach to metabolic health, energy, and hormone-related aging concerns - not a self-directed supplement regimen

Do not discontinue prescribed B12 treatment without medical advice, as this may be managing an important deficiency state

Beyond Use Date 90 Days from compounding (USP ) Use within this window from the date your vial is compounded

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