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Without vitamin B 12, any individual may start to feel weak and tired due to megaloblastic anemia

Tears and degenerative changes within the substance of the tendon would be an absolute contraindication to Achilles tendon injection

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Available from: National Institutes of Health (NIH) Office of Dietary Supplements

Possible NAD+ injection side effects tend to be mild and short lived as your body adjusts, and may include: Injection site discomfort Brief flushing Headache Mild nausea Temporary fatigue Report anything persistent or severe to your provider, who monitors your response throughout treatment