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NAD+ IV can cause flushing, nausea, or mild chest tightness if infused too quickly

Now, I wrap my vials in foil, refrigerate open and unopened and toss the opened vial after 28 days

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Other indications include malabsorption disorders (such as Crohn's disease or coeliac disease), following gastric surgery, strict vegan diets without supplementation, and certain medications that interfere with B12 absorption