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Since were using an enzyme that dissolves collagen, you want to ensure its injected only in the exact right places, and that requires a physician or advanced practitioner who understands the anatomy and who has been trained in this specific procedure

Yes, you can combine NAD and B12 because they help with different things

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if an underlying condition is responsible, symptoms relate to that condition (e.g., fatigue or bruising in some blood disorders, jaundice in liver disease)

Initial laboratory assessment should include a complete blood count and serum vitamin B 12 level