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Direct NAD+ supplementation faces major hurdles

The medication does not directly increase metabolic rate or preferentially promote fat burning

With a little practice, however, most pet owners find that they have no problems administering routine injections to their cat without assistance

Sorokina EG, Reutov VP, Pinelis VG, Vinskaya NP, Vergun OV, Khodorov BI (2000) The mechanism of potentiation of the glutamate-induced neurotoxicity by serum albumin: a possible role of nitric oxide

(This will increase the risk of side effects and interrupt your treatment schedule.) If you miss two or more doses in a row, talk to your medical provider