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Until those patents expire, no other company can legally manufacture a true, FDA-approved generic version

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Vitamwardsin B12 sources and bioavailability. Experimental Biology and Medicine 232(10) (2007): 12661274

518 Furthermore, increasing the level of available NAD + by supplementing diet containing NAD + precursors or inhibiting the activity of NAD + -dependent enzyme (e.g., PARP that snatches NAD + competing with mitochondria) is a feasible strategy to avoid the neurotoxicity related to mitochondrial dysfunction