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If the person is unconscious, experiencing seizures, difficulty breathing, or unresponsive, call emergency services at 911 without delay

Over-the-counter supplements and unlicensed products pose significant risks

Coordination with endocrinology, primary care, or the prescribing clinician may be appropriate for patients with poor glycemic control, insulin use, chronic kidney disease, or high cardiovascular risk

High quality protein sources include: Lean meats (chicken breast, turkey) Fish and seafood Eggs and egg whites Greek yogurt and cottage cheese Tofu and tempeh Protein powders (whey isolate or plant based blends) Supplementation is often necessary for users who feel too full to eat whole food meals

The recommendation depends on the patient, not the margin

NAD+ supply goes DOWN (less food, fewer precursors)