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Yet the symptoms are often subtle and easily attributed to ageing, stress or other conditions and the dreaded presentation of tired all the time Symptoms to look out for: Fatigue and low energy Brain fog and poor concentration Pins and needles or numbness Poor balance or gait disturbance Memory difficulties Low mood A sore, red tongue (glossitis) Unexplained macrocytosis or anaemia Always check folate alongside B12 This is a key clinical point

Many individuals benefit from B12 injections to address deficiencies, improve vitality, and reduce symptoms of fatigue

Potential Benefits Cellular energy (preclinical): Restoring NAD+ pools is reported to support mitochondrial function and energy metabolism in laboratory models [5] [6]

Curiously they have very similar and diverse symptoms and both need to be effectively treated to achieve well being when they present together