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Higgins JPT, Thomas J, Chandler J et al (2021) Cochrane handbook for systematic reviews of interventions version 6.2 Sterne JAC, Savovi J, Page MJ et al (2019) RoB 2: a revised tool for assessing risk of bias in randomized trials

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Indeed, high NAD + levels and NAD + /NADH ratios are associated with increased energy production in humans, improved mitochondrial membrane potential, and decreased mitochondrial mass through mitophagy in vitro, suggesting improved efficiency of mitochondria 9497

The frequency of B12 shots depends on the severity of the deficiency and individual factors

Statistically, these alterations were different compared to the placebo group