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Yes unopened bacteriostatic water vials are shelf-stable at controlled room temperature (2025C) for the full manufacturer expiration period, typically 2436 months
Exp: Sept 2027
Without this offset, both compounds compete for limited NAD+ and receptor access simultaneously, creating a metabolic bottleneck that reduces efficacy of both
PMID 32644742
Other risk factors include certain gastrointestinal conditions, autoimmune conditions such as pernicious anaemia, long-term use of some medications, and increasing age
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