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Independent, third-party testing for identity and purity is the standard that separates a medical-grade compound from a bag of powder with a label

3 Frontiers in Aging NeurosciencePilot study of human plasma and urine NAD+ metabolome during a 6-hour IV infusion (750 mg)

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Blood for this test needs to be drawn in hospital, because it needs to be put on ice and taken to the lab immediately

In fact, its been found that B12 supplements taken orally are just as effective as intramuscular shots in overcoming states of deficiency when you take up to 1,000 micrograms a day