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Persistent severe symptoms that interfere with daily activities or lead to dehydration should prompt immediate medical consultation, as medication discontinuation or alternative treatments may be necessary

[7] The effects of high-dose NAD+ on a developing fetus or nursing infant have not been studied, so the therapy is avoided entirely in these situations out of caution

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Nevertheless, it is prudent to have regular medical supervision, so any subtle interaction or side effects can be promptly identified and managed appropriately

Never experienced anything like this in my 52 years