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[4] [5] Patients with diabetes who are taking insulin or a sulfonylurea should discuss glucose monitoring and any necessary dose adjustments with their clinician, as improved glycaemic control during treatment may increase hypoglycaemia risk

The part I would actually keep an eye on has nothing to do with nausea

Like many things, you may receive total body benefits as the result of increased NAD synthesis by exercising, limiting exposure to sunlight, fasting, and through nutrition, and supplements

However, some may experience mild side effects such as nausea, dizziness, or headaches

many performance peptides are sold as research chemicals , not FDA-approved drugs

It depends on how stable your weight is and whether hunger stays under control