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Nursing care: Use proper IM technique, rotate sites, educate patient on side effects and schedule

and persistent changes in neurotransmitter dynamics initiated during the brief active window

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89 Although the majority of studies suggest that an increase in NAD+ drives cellular proliferation, prior investigations have proposed that a decrease in NAD+ levels can lead to genomic instability, subsequently instigating liver tumorigenesis

Beyond 3 months: Continued treatment helps stabilize the results and address any remaining uneven areas, especially for deeper pigmentation