Because its not FDA-approved, insurance may not cover it, and the quality is ensured through the compounding pharmacys standards rather than an FDA drug approval
The choice depends on availability, cost, individual response, and prescriber recommendation
National Institute of Neurological Disorders and Stroke
18 Patients were randomized to receive 100 mg IV furosemide twice daily, with or without 100 ml of compound hypertonic saline solution (2.8% NaCl with 0.2% KCl and 0.9% MgSO4)
Notably, other banned substances from the S4.1 group, such as aminoglutethimide, arimistane, formestane, or testolactone, may also be present in illegal samples purchased by athletes
[11] By ramping up the dosage slowly, patients can often avoid side effects like headache or nausea while still obtaining the energizing or cognitive benefits of NAD+