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Too much NNMT can lower NAD+ levels (low NAD+ levels may make it harder to burn fat efficiently or maintain metabolic health as you age)

doi:10.1007/s10103-017-2195-9 Colombo F, Marques AM, Carvalho C, et al

This isn't a reason to avoid GLP-1 therapy the benefits are well established but it is a compelling reason to be proactive about your B12 status

The final step is to label the vial with the date you reconstituted it and its concentration
Any provider without chemotherapy-certified nursing staff and proper safety equipment cannot legally or correctly bill this code

Reconstitution note: NAD+ is acidic, and that acidity is the main driver of injection-site sting
