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Your provider should: Evaluate your medical history and current health status Order baseline lab work (IGF-1, metabolic panel, hormones) Determine an appropriate starting dose Monitor your progress with follow-up labs and consultations Adjust your protocol based on your response Be proactive in communicating with your provider about your response, any side effects, and your treatment goals

Researchers might explore this combination in models of severe metabolic dysfunction where both NAD+ depletion and poor mitochondrial health are present

Count slowly to 10 or 15

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