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If you take metformin regularly, talk to your health professionals about getting screened for vitamin B12 deficiency

Use Lab Data Hemoglobin, hematocrit, ferritin, B12, and folate levels all help justify your code

The metabolism and elimination of NAD+ (and its by-products) could be altered in advanced hepatic or renal dysfunction, and high-dose NAD+ might theoretically affect cardiovascular dynamics, so practitioners generally avoid or closely supervise NAD+ use in such settings

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