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Theranostics 11, 71997221

Diet matters too

The AAFP advises that injectable therapy leads to more rapid improvement and should be considered in patients with severe deficiency or severe neurologic symptoms (Langan RC, Goodbred AJ, 2017)

Water retention or mild bloating: Small amounts of fluid retention can occur when starting peptide analogues of growth hormone because growth hormone causes sodium and water retention in the tissues, resulting in slight puffiness or bloating

She avoids IV pushes of GSH because of potential side-effects

eNAMPT may also allow extracellular conversion of NAM to NMN, as eNAMPT is catalytically active 43