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Infection by SARS-CoV-2 or other viruses has been shown to substantially increase production of free radicals by the immune cells leading to oxidative stress
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Efficacy is unaffected once the peptide reaches the bloodstream it sits in the bodys own roughly 150 mM saline regardless of what you mixed it with. NAD+ is different: its pain is acidity, not mast cells reconstituted NAD+ sits near pH 3.5
