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According to Kannt & Pfenninger in Frontiers in Physiology , NAD is a critical coenzyme in mitochondrial energy metabolism, and strategies that preserve NAD have wide-ranging effects on health and performance (Kannt & Pfenninger, Frontiers in Physiology )
*Individual results may vary
NAD+ IV therapy involves the intravenous administration of nicotinamide adenine dinucleotide (NAD+), a coenzyme found in all living cells
Patients with diagnosed diabetes should monitor glucose closely, as MOTS-cs insulin-sensitizing effects may potentiate hypoglycemia when combined with antidiabetic medications
Those individuals may not convert cyanocobalamin efficiently, which could slow symptom relief despite adequate blood levels