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(If opened and stored properly, the vial can often be used for days or weeks usually up to 28 days until the expiration date, as long as sterility is maintained.) Not a Medication By Itself: Bacteriostatic water has no pharmacological effect other than serving as a vehicle
The primary theoretical concern is that sustained NAD+ elevation through chronic NNMT inhibition could activate pathways (PARP, SIRT1) that have context-dependent roles in cancer biology NAD+ supports DNA repair and cellular longevity, but also fuels rapidly dividing cells
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