As Kannt & Pfenninger highlight in Frontiers in Physiology , maintaining NAD levels is a cornerstone of metabolic health, supporting mitochondrial function and improving resistance to metabolic stress (Kannt & Pfenninger, Frontiers in Physiology )
We are unaware of any new NICE guidelines relating to this
Referral to a registered dietitian is appropriate for patients with significant fatigue, rapid weight loss (more than 1-2% body weight per week), or concerns about nutritional adequacy
When to Consider Vitamin B12 Treatment If symptoms continue or become more severe, starting Vitamin B12 treatment can correct deficiency, improve symptoms, and support overall health
A little goes a long way, and your cat might just like the treats