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This may result in sense loss, difficulty in proprioception, neuropathic pain, difficulty walking, poor balance, loss of sensation in the feet, muscle weakness, blurred vision (either due to retinopathy [27] or optic neuropathy [28] ), impaired urination, fertility problems, decreased sense of taste and smell, decreased level of consciousness, changes in reflexes, memory loss, mood swings, depression, irritability, cognitive impairment, confusion, anxiety, clumsiness, dementia, and, in more severe cases, psychosis

Unfortunately, NAD+ levels decline with age, stress, poor diet, and metabolic dysfunction

To ensure adequate vitamin B12 intake, it's important to include foods rich in this nutrient in the diet

5-Amino-1MQ 5-Amino-1MQ is a small molecule derivative of nicotinamide designed to inhibit NNMT , an enzyme that regulates NAD+ levels and energy metabolism

Microbial fermentation yields adenosylcobalamin, which is then converted to cyanocobalamin by the addition of potassium cyanide or thiocyanate in the presence of sodium nitrite and heat