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NAD+ therapy aids mitochondrial health, energy, cognition, and inflammation.[20][33][39] IV forms provide rapid boosts, with studies showing safety and efficacy in fatigue reduction

Common symptoms include: Fatigue or loss of motivation Increased body fat, especially around the midsection Mood swings, irritability, or anxiety Poor sleep quality or insomnia Low libido or erectile dysfunction Muscle loss or difficulty gaining muscle Hair loss Prostate enlargement Many of these symptoms are often mistaken for just getting older, but hormone imbalance is frequently the real cause

Small doses of short acting narcotics can be used for "breakthrough" pain

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