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What remains uncertain: Large-scale, controlled human clinical trials specifically evaluating compounded NAD+ nasal sprays for energy, cognitive function, or healthy aging outcomes are still limited

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While both Vitamin B12 injections and oral supplements have their place, the decision ultimately comes down to your unique health needs

They also guide treatment and track how well a patient is doing

If you're dealing with gut inflammation, leaky gut, or GI issues: capsules are a completely reasonable choice, and possibly the better delivery method for that specific application