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Since both an elevated glycolytic flux and the mitochondrial metabolism require NAD + , cancer cells need to maintain high NAD + levels compared to their non-transformed counterparts

Indications: Vitamin B12 deficiency, energy support, anemia, neuropathy, cognitive function, immune health

Breastfeeding Cyanocobalamin is excreted in the breast milk of nursing women in levels similar to the level of vitamin B12 in maternal plasma (18)

Others who might be prescribed B12 shots are those at the highest risk for a B12 deficiency, including: Vegans, since vitamin B12 is found only in animal products People ages 60 and up since their bodies don't absorb B12 as efficiently People with Crohn's disease or pancreatic disease, since they prevent nutrient absorption People who had weight-loss surgery, which decreases B12 absorption People with an eating disorder People with HIV People with diabetes Since a mild B12 deficiency might not cause symptoms, it can go undetected for years since levels are not checked during routine blood work