As you get older, the systems that rely on NAD+ (like energy production, cognitive function, skin repair, immune health, and inflammation regulation) start to slow down, and declining NAD+ levels appear to be a key driver behind that slowdown
Requirements of vitamin B 12 in excess of normal (due to pregnancy, thyrotoxicosis, hemolytic anemia, hemorrhage, malignancy, hepatic and renal disease) can usually be met with oral supplementation
The National Institutes of Health points out that these factors can make it difficult to maintain healthy levels through diet alone, which is why its so important to be aware of your personal risk
Its now so obvious to me that my face was super pale and that I had bags under my eyes in that photo, despite it being the summer and spending time at the beach
However, it is advisable to consult with your doctor to discuss potential risks based on your medical history