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This is a man-made version of Vitamin B12, and it is effective for most people, helping with blood cell formation just like the natural kind

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"Nicotinamide N-methyltransferase inhibition mimics and boosts exercise-mediated improvements in muscle function in aged mice." Scientific Reports

All the more reason not to become B12-deficient in the first place

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FDA-approved semaglutide products (Ozempic, Wegovy, Rybelsus) do not contain B12 and appear as clear, colorless solutions, similar to Mounjaro and Zepbound