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What the science actually says Here is where the marketing and the evidence part ways: Metabolism

Elevated serum B12 levels (hypercobalaminaemia) detected on blood tests may indicate underlying conditions such as liver disease, kidney dysfunction, or myeloproliferative disorders rather than representing a direct cause of symptoms

Product Details Product Name: NAD+ 1000mg Catalogue Number: BWG-NAD1000 CAS Number: 53-84-9 Unit Size: 1000mg Form: Lyophilised Powder Purity: Greater than 99 percent HPLC Verified Molecular Formula: C21H27N7O14P2 Molecular Weight: 663.4 g/mol Appearance: Colourless to light yellow powder depending on storage and batch conditions Storage: Store at minus 20 degrees Celsius in a dry, dark environment Usage and Reconstitution NAD+ is supplied as a freeze dried powder to maintain maximum stability