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Low NAD+ levels may cause aging, cancer, metabolic disease, sarcopenia, and frailty

Before use it is reconstituted with sterile water for injection or normal saline, and the reconstituted solution should be used immediately

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However, increased growth hormone activity may carry risks such as: insulin resistance fluid retention and joint swelling cardiovascular complications abnormal tissue growth Human orthopaedic evidence remains limited, and most musculoskeletal data are still preclinical