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Pernicious Anaemia Challenges Recently a clinician colleague (also a PA patient) mentioned that they had received the dreaded we need to retest you letter

It remains possible that as NAD+ use becomes more widespread, some interactions could emerge

This helps ensure the efficacy and quality of the product being taken and minimizes the risk of positive drug testing for steroids and other banned substances

Timothy Fensky , RPhcompounding pharmacist and consultant

However, PA specifically refers to the clinical manifestation associated with IF deficiency and subsequent B 12 malabsorption

These may include slight headache, mild dizziness, or minor nasal irritation