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In female patients, its been shown to increase sexual desire and arousal as well as decrease distress associated with sexual dysfunction (4)
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In that setting, patients received high-dose NAD+ daily for about 4-10 days to alleviate acute withdrawal symptoms, followed by tapering to less frequent booster injections over the ensuing weeks
For metabolic health and insulin resistance, the evidence supports a moderate dose approach in the 5 mg range, dosed five times per week, combined with a structured exercise program
Quality control of grey-market material is also a real practical risk, separate from the molecule itself
