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The recommended dose of general health is to start out with 0.1ml (20mg NAD+) and, as desired, slowly ramp up to 0.4ml (100mg NAD+) 1-3 times per week

This may lead to more consistent results, especially for people who feel sluggish or hit a plateau while on semaglutide alone

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1 2 "Vitamin B12 production by Citrobacter freundii or Klebsiella pneumoniae during tempeh fermentation and proof of enterotoxin absence by PCR"