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1,2 SORT: KEY RECOMMENDATIONS FOR PRACTICE Figure 1 In the United States and the United Kingdom, the prevalence of vitamin B 12 deficiency is approximately 6% in persons younger than 60 years, and nearly 20% in those older than 60 years

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Institutional protocols often start at 50mg daily for two weeks, then escalate to 75100mg based on tolerance and objective metabolic markers like NAD+ levels and urinary methylnicotinamide excretion

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In more serious cases, you might need an injection of B12