It might
Consequently, prolonged use of pivalic acid-containing antibiotics, including pivampicillin, pivmecillinam, pivcephalexin, and cefditoren pivoxil (Spectracef), can lead to secondary L-carnitine deficiency (135)
Research shows NAD+ precursors may protect neurons from oxidative stress, support neurotransmitter production, and improve markers associated with cognitive decline
Fatigue is common and can be caused by many things, including: Iron deficiency Low vitamin D Thyroid issues Poor sleep quality or sleep apnoea Stress and burnout Low mood/anxiety Dietary patterns and hydration Long-term conditions Thats why we always recommend basing B12 treatment on clinical context, and ideally blood test results, rather than guessing
Bonus: Prickly Pear Extract Why it might work: Prickly pear ( Opuntia ficus-indica ) is rich in antioxidants and anti-inflammatory compounds