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230 A similar trial involving 63 women with fibromyalgia found treatment with the antidepressant amitriptyline plus 10 mg of melatonin nightly for six weeks reduced pain more than either amitriptyline or melatonin alone

Decline with age Reduction in NAD+ levels between 20 and 60 years of age, leading to mitochondrial dysfunction and sirtuin deficiency

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Alcohol Use with Caution Limit or avoid alcohol consumption, as it may interfere with the absorption and effectiveness of B vitamins and delay nerve recovery

Unreconstituted storage For peptides you have not yet mixed, storage depends on the timeframe

Store this medicine at room temperature, away from direct light and heat