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Based on patient needs, NAD+ may be prescribed for intravenous (IV), intramuscular (IM), or subcutaneous (SubQ) administration

If bubbles form despite careful handling, let the vial sit upright in the refrigerator for 30 minutes and they will rise to the surface and dissipate

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Medications that reduce absorption of B12 metformin (for diabetes) and antacids (that reduce the amount of stomach acid) are the main ones

If you dont have enough B12 in a form that you can use, you will become anemic

Overall, GLP-1 agonists present a novel but manageable profile of ED-relevant toxicities