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Common symptoms include: Hematologic : Macrocytic (megaloblastic) anemia Pallor and shortness of breath on exertion Neurological : Paresthesias (tingling, pins and needles) in hands and feet Gait disturbances and balance problems Cognitive changes: memory lapses, brain fog, mood swings Gastrointestinal : Glossitis (inflamed tongue) Appetite loss and weight changes Nausea or diarrhea Because the nervous system can be permanently damaged if deficiency persists, early detection and correction are paramount

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According to the company, NAD+ nasal sprays and injections are available at different dosing levels, and dosing is determined by the prescribing clinician based on individual patient needs

In contrast, blood glucose level of 54 mg/dL or less occurred in 6% of patients receiving the 14 mg tablets, 3% of patients receiving placebo, and 0% of patients receiving the 7 mg tablets