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doi: 10.1371/journal.pone.0100379
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Megadosing by doing frequent injections when you dont actually need it can lead to side effects like itchy rash, anxiety, and rapid heartbeat

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[9] In summary, while NAD+ Injection is a broadly applicable metabolic therapy, it should not be used by anyone allergic to it, and it is generally avoided in pregnant women, cancer patients, or those with serious chronic diseases, absent compelling medical rationale

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