If youve experienced B12 deficiencies in the past, then your healthcare provider may suggest more frequent monitoring
MOTS-c What it is : Mitochondrial-derived peptide (16 amino acids) Mechanism : Enhances mitochondrial function Improves metabolic efficiency Increases NAD+ utilization Regulates energy metabolism Benefits : Improved energy and endurance Enhanced fat burning Better insulin sensitivity Increased exercise capacity Metabolic optimization Dosing : 5-10mg 2-3x weekly Cost : $80-150 per month Best for : Athletes, metabolic health, energy optimization Humanin What it is : Mitochondrial-derived peptide (24 amino acids) Mechanism : Protects mitochondria from stress Enhances NAD+ pathways Neuroprotective effects Anti-inflammatory Benefits : Cognitive protection Neuroprotection Metabolic benefits Longevity support Cellular stress resistance Dosing : 1-5mg daily Cost : $100-200 per month Best for : Cognitive health, neuroprotection, anti-aging SS-31 (Elamipretide) What it is : Mitochondrial-targeted tetrapeptide Mechanism : Concentrates in mitochondria Enhances ATP production Improves NAD+/NADH ratio Reduces oxidative stress Benefits : Enhanced cellular energy Improved mitochondrial function Cardioprotective effects Neuroprotective benefits Exercise performance Dosing : 5-10mg daily Cost : $150-250 per month Best for : Serious mitochondrial support, heart health, neurological conditions Note : Less commonly available, more expensive Cerebrolysin (indirect NAD+ support) What it is : Neurotrophic peptide complex Mechanism : Enhances brain-derived neurotrophic factor (BDNF) Supports mitochondrial function indirectly Neuroprotective Benefits : Cognitive enhancement Neuroprotection Recovery from brain injury Memory improvement Dosing : 5-10ml IM 2-3x weekly Cost : $200-400 per month Best for : Cognitive optimization, brain health, recovery from TBI Note : Not pure NAD+ booster but supports mitochondrial health Most accessible option: MOTS-c For most people : MOTS-c offers best balance of effectiveness, availability, and cost Second choice : Humanin for cognitive/neuroprotection focus Advanced users : SS-31 for maximum mitochondrial support MOTS-c dosing and protocols Most popular NAD+ peptide for general use
People with chronic liver and/or kidney dysfunction should not take frequent B12 injections
Xylitol (derived from birch wood) for improved flavor
648 Preclinical studies have shown that MSC transplantation improves nerve function and reduces neuropathic pain in diabetic animal models 649
Growth hormone axis treatments for HIV-associated lipodystrophy: a systematic review of placebo-controlled trials
