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Research has shown that experimental activation of SIRT1 through NAD+ supplementation or caloric restriction can extend lifespan in model organisms by 15-30%, while SIRT1 knockout animals show accelerated aging phenotypes and reduced stress resistance

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The following criteria were considered: Full economic evaluations: cost-utility analysis, cost-effectiveness analysis, cost-benefit analysis Economic evaluations reporting incremental cost-effectiveness ratios (i.e., cost per quality-adjusted life year/life years gained or cost per event avoided) Studies in patients with confirmed vitamin B12 deficiency Studies in English Abstracts were reviewed by a single reviewer and, for those studies meeting the eligibility criteria, full-text articles were obtained

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The formulation and excipients in B12 supplements often play a significant role

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