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As we age, NAD levels naturally decline, which has been associated with various age-related health issues, including metabolic disorders, neurodegenerative disease, and reduced cellular repair mechanisms

Patients might notice a decline in mental clarity, difficulty concentrating, or uncharacteristic mood changes

Red flags requiring prompt medical evaluation include progressive neurological symptoms (numbness, tingling, ataxia), cognitive changes, severe macrocytic anemia, or B12 deficiency during pregnancy

Slow loss with month one, hopefully month two brings better results

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