If you see particles, cloudiness, discoloration, or any signs of contamination, do not use it
treatment should take place every 7 days for 3 weeks, then a monthly follow up shot for at least 3 months, then a follow up shot in 3 months time, dependant on exact level of symptoms
Those with certain health conditions may also need extra monitoring
Biweekly B12 shots are often given to athletes or individuals with high-stress lifestyles who burn through nutrients more quickly
Studies show that NNMT inhibition by 5-amino-1-methylquinolinium significantly reduces nicotinamide metabolism, increases NAM accumulation, improves NAD+ synthesis efficiency by over 30%, and markedly increases mitochondrial ATP production and cellular energy metabolism
doi:10.1210/jc.2017-01155