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(Source: Vitamin B12 and Stress by Metabolic Wellness Center)

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Vitamin B12 deficiency occurs when your body doesnt receive or absorb enough vitamin B12 from your diet to function effectively

NAD+ helps improve energy at the cellular level, and B12 helps with fatigue from deficiencies

It can also occur in those dogs and cats with exocrine pancreatic insufficiency (EPI) or senior dogs or cats