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Consequences of Low NAD+ Levels Fatigue and slow recovery: Mitochondrial inefficiency leads to ATP shortages

While GHK-Cu is a cosmetic ingredient, no formal safety data exists for use during pregnancy or breastfeeding

[15] [16] Tests may include full blood count, serum B12 levels, anti-intrinsic factor antibodies (to diagnose pernicious anaemia), and sometimes methylmalonic acid or homocysteine levels when the diagnosis is uncertain

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PMID 16984231