A NAD+ injection is a wellness service where nicotinamide adenine dinucleotide (NAD+) is administered as an intramuscular or subcutaneous injection under clinical supervision
* Your first B12 shot at our office is only $10 for a limited time
Am Fam Physician
Make sure to include these in your meals for adequate levels of vitamin D and B12: High in B12: Beef liver Shellfish (e.g., clams and crab) Salmon and tuna Ground beef Dairy products such as milk, yogurt, and cheese Fortified plant-based milk or cereals High in Vitamin D: Salmon Freshwater trout Sardines Mushrooms exposed to sunlight Fortified milk and cereals When to See a Doctor If you experience persistent symptoms of deficiency or are unsure about your nutrient needs, consult a healthcare provider

B12 has many functions in our body, so unfortunately a deficiency will give rise to a wide variety of symptoms, like brain fog, memory problems, cognitive impairment, insomnia, headaches, especially migraine, behavioural changes, learning problems, nominal aphasia, mood swings, irritability, depression, anxiety, hallucinations, delusions, psychosis, peripheral paraesthesia (pins and needles), numbness, neuropathic pains, poor balance, reduced vibration sense or proprioception (joint position sense), tinnitus, ataxia, taste impairment, sometimes myelopathy, fatigue, anaemia (either with larger red blood cells, or with normal size of the red blood cells when there is also iron deficiency), other reduction in blood cells, abdominal complaints, malabsorption, failure to thrive, weight loss, diarrhoea, hyperpigmentation, glossitis, (aphthous) stomatitis, infertility, urinary tract infections, joint and muscle pain, muscle weakness, spasticity, seizures, cardiomyopathy, urinary and/or faecal incontinence, postural hypotension/dizziness, erectile dysfunction, to name a few

CPT 99213, 99214, and 99215 for Anemia Follow-Up: Documentation Requirements Anemia follow-up visits qualify for 99213 when one stable chronic problem is managed with no prescription drug management